Provider Demographics
NPI:1043548258
Name:CAMARILLO HHCA, INC.
Entity Type:Organization
Organization Name:CAMARILLO HHCA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-987-7272
Mailing Address - Street 1:1601 CARMEN DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3105
Mailing Address - Country:US
Mailing Address - Phone:805-987-7272
Mailing Address - Fax:805-987-7244
Practice Address - Street 1:1601 CARMEN DR
Practice Address - Street 2:SUITE 112
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3105
Practice Address - Country:US
Practice Address - Phone:805-987-7272
Practice Address - Fax:805-987-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-27
Last Update Date:2009-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health