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SIMI HEALTH CENTER A MEDICAL CORP NPI 1871682096


NPI Information

NPI: 1871682096
Provider Name: SIMI HEALTH CENTER A MEDICAL CORP

Former Legal Business Name: C.R.J M.D. A MEDICAL CORPORATION

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D0584269

Address:
1350 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 522-3782
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SIMI HEALTH CENTER A MEDICAL CORP is an urgent care clinic center in Simi Valley, CA. SIMI HEALTH CENTER A MEDICAL CORP NPI is 1871682096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is C.r.j M.d. A Medical Corporation.

The provider's business location address is:

1350 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93065-898
Phone: (805) 522-3782
Fax: (805) 522-1283

The provider's authorized official is Chandrashekhar R Joshi .
The authorized official title is Md/owner and has the following contact phone number (805) 522-3782.

The CLIA number assigned to this NPI record is 05D0584269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/11/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A255620MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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