Campo, Ivon
Campo, Ivon is an sole proprietor health care provider with primary practice located at 3055 W Orange Ave Suite 202, Anaheim CA 92804-3159. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Campo, Ivon can be contacted via phone (714) 527-1262.Contact Information
Primary practice address
3055 W Orange Ave Suite 202
Anaheim CA 92804-3159
Phone: (714) 527-1262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C43138 | California |
Profile Details
| NPI number | 1306835947 |
|---|---|
| LBN Legal business name | Campo, Ivon |
| Credentials | M |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jan 24th, 2013 - about 12 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 | 1306835947 | NPPES |
| California | MEDICAID | 00A348130 |
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