Provider Demographics
NPI:1336368562
Name:FAMILY CIRCLE INC.
Entity Type:Organization
Organization Name:FAMILY CIRCLE INC.
Other - Org Name:OXNARD FAMILY CIRCLE ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-385-4180
Mailing Address - Street 1:2100 OUTLET CENTER DR STE 370
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0627
Mailing Address - Country:US
Mailing Address - Phone:805-385-4180
Mailing Address - Fax:805-385-8846
Practice Address - Street 1:2100 OUTLET CENTER DR STE 370
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0627
Practice Address - Country:US
Practice Address - Phone:805-385-4180
Practice Address - Fax:805-385-8846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000601261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70303FMedicaid
CACMCSUBJ1KMedicaid