Campbell, Ricardo
Campbell, Ricardo is an sole proprietor health care provider with primary practice located at 16311 Ventura Blvd Suite 800, Encino CA 91436-2124. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Ricardo can be contacted via phone (818) 788-7343.Contact Information
Primary practice address
16311 Ventura Blvd Suite 800
Encino CA 91436-2124
Phone: (818) 788-7343
Fax: (818) 788-9453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA20244 | California |
Profile Details
| NPI number | 1811978828 |
|---|---|
| LBN Legal business name | Campbell, Ricardo |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 30th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811978828 | NPPES |
| California | MEDICAID | 00PA202440 |
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