Erick F. Carcamo A Professional Medical Corporation

LBN: Erick F. Carcamo A Professional Medical Corporation
Erick F. Carcamo A Professional Medical Corporation is an health care organization with primary practice located at 14650 Pacific Ave , Baldwin Park CA 91706-5333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Erick F. Carcamo A Professional Medical Corporation can be contacted via phone (626) 337-1360, or through Carcamo, Erick F via phone (626) 337-1360.

Contact Information

Primary practice address
14650 Pacific Ave Baldwin Park CA 91706-5333
Fax: (626) 338-3861
Website:
Authorized official contact:
Name: Carcamo, Erick F Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A53329 California

Profile Details

NPI number 1457594939
LBN Legal business name Erick F. Carcamo A Professional Medical Corporation
DBA Doing business as
Authorized official Carcamo, Erick F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 13th, 2009
Last updated Jun 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457594939 NPPES
California Other 05D0906608 CLIA
California MEDICAID 00A533290 CLIA

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