Campos, Jose Ventura

Campos, Jose Ventura is an sole proprietor health care provider with primary practice located at 3186 Airway Ave Ste A , Costa Mesa CA 92626-4650. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Campos, Jose Ventura can be contacted via phone (714) 881-0427.

Contact Information

Primary practice address
3186 Airway Ave Ste A Costa Mesa CA 92626-4650
Fax:
Website:

Health care specialties

Profile Details

NPI number 1225672819
LBN Legal business name Campos, Jose Ventura
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2019
Last updated Dec 20th, 2021 - about 3 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 1225672819 NPPES
California MEDICAID 137216

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