Carcamo, Mario P

Carcamo, Mario P is an individual health care provider with primary practice located at 4440 Brockton Ave Suite 420, Riverside CA 92501-4068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Carcamo, Mario P can be contacted via phone (951) 684-8020.

Contact Information

Primary practice address
4440 Brockton Ave Suite 420 Riverside CA 92501-4068
Phone: (951) 684-8020
Fax: (951) 684-8090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X A35551 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A35551 California

Profile Details

NPI number 1518916725
LBN Legal business name Carcamo, Mario P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Apr 12th, 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 1518916725 NPPES
California MEDICAID 00A355510

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