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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255548327 | NPPES |
| California | MEDICAID | 00C431740 |
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