Camacho, Jose

Camacho, Jose is an sole proprietor health care provider with primary practice located at 409 E Merced Ave Ste A , West Covina CA 91790-5061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Camacho, Jose can be contacted via phone (858) 699-7726.

Contact Information

Primary practice address
409 E Merced Ave Ste A West Covina CA 91790-5061
Phone: (858) 699-7726
Fax: (858) 793-5640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C43174 California
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X C43174 California

Profile Details

NPI number 1255548327
LBN Legal business name Camacho, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated May 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255548327 NPPES
California MEDICAID 00C431740

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