Camacho, Richard O

Camacho, Richard O is an sole proprietor health care provider with primary practice located at 1805 N California St Ste 406 , Stockton CA 95204-6033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Camacho, Richard O can be contacted via phone (209) 227-7806.

Contact Information

Primary practice address
1805 N California St Ste 406 Stockton CA 95204-6033
Phone: (209) 227-7806
Fax: (209) 851-3853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A93056 California

Profile Details

NPI number 1649253881
LBN Legal business name Camacho, Richard O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Oct 28th, 2018 - about 6 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 1649253881 NPPES
Oregon MEDICAID 233118

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