Camargo, Mayra Elizabeth

Camargo, Mayra Elizabeth is an individual health care provider with primary practice located at 560 S San Jose Ave , Covina CA 91723-3144. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Camargo, Mayra Elizabeth can be contacted via phone (626) 967-5103.

Contact Information

Primary practice address
560 S San Jose Ave Covina CA 91723-3144
Phone: (626) 967-5103
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1871709493
LBN Legal business name Camargo, Mayra Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1871709493 NPPES
California MEDICAID TFC6365

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