MEDICARE: COUNTY OF VENTURA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1871479519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF VENTURA

Provider Business Mailing Address
First Line	:	800 S VICTORIA AVE # L4640
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93009-0002
Country	:	US
Telephone Number	:	805-582-4000
Fax Number	:	805-579-6082

Provider Business Practice Location Address
First Line	:	1133B E LOS ANGELES AVE
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2846
Country	:	US
Telephone Number	:	805-582-4000
Fax Number	:	805-579-6082

Authorized Official
Title or Position	:	CEO
Name	:	THERESA CHO
Credential	:	MD
Telephone Number	:	805-981-5478

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	12/09/2025

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Directions to “COUNTY OF VENTURA ” Practice Location

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