CAMINO HEALTH CENTER NPI 1366560393

NPI Information

CAMINO HEALTH CENTER is a community health clinic center in San Juan Capistrano, CA. CAMINO HEALTH CENTER NPI is 1366560393. The provider is registered as an organization entity type.
The provider Is Doing Business As Camino Health Center.

The provider's business location address is:

30300 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA
ZIP 92675-304
Phone: (949) 240-2030
Fax: (949) 429-7627

The provider's authorized official is Debra Lynn Drew .
The authorized official title is Chief Executive Officer and has the following contact phone number (949) 240-2030.

The CLIA number assigned to this NPI record is 05D0579553 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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