Healthcare Provider Details

I. General information

NPI: 1871479519
Provider Name (Legal Business Name): COUNTY OF VENTURA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133B E LOS ANGELES AVE
SIMI VALLEY CA
93065-2846
US

IV. Provider business mailing address

800 S VICTORIA AVE # L4640
VENTURA CA
93009-0002
US

V. Phone/Fax

Practice location:
  • Phone: 805-582-4000
  • Fax: 805-579-6082
Mailing address:
  • Phone: 805-582-4000
  • Fax: 805-579-6082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: THERESA CHO
Title or Position: CEO
Credential: MD
Phone: 805-981-5478