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CH09365D CLINICAS DEL CAMINO REAL, INC. (Active)
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Main Details
Name
CLINICAS DEL CAMINO REAL, INC.
Subdivision Name
Clinicas Del Camino Real Inc - Ventura
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007971
340B ID
CH09365D
Grant Number
H80CS00550
Additional Details
Current Program Status
Active
Registration Date
2/26/2008
Participating Start Date
4/1/2008
Participating Approval Date
2/27/2008
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Clinicas del Camino Real
Farhad Benharash, Chief Financial Officer
(818) 620-5514
Primary Contact
Clinicas Del Camino Real, INC.
Farshid Aminian, Pharmacy Director
(805) 659-0119
Addresses
Street Address
200 S. Wells Road STE 100
Ventura, CA 93004-1302
Billing Address
CLINICAS DEL CAMINO REAL, INC.
PO BOX 4566
VENTURA, CA 93007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/08/09 UPDATED MEDICAID #(WAS FHC03908F); 10/08/09 UPDATED ADDR(WAS 200 S WELLS ROAD, SUITE 100, 93007)
01/11/2010
April 2025
April 2025
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