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CH09365AB 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. - East Simi Valley
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013389
340B ID
CH09365AB
Grant Number
H80CS00550
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/2/2014
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
4370 Eve Road
Simi Valley, CA 93063-2323
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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