Mario Carcamo Md Inc

LBN: Mario Carcamo Md Inc
Mario Carcamo Md Inc is an health care organization with primary practice located at 4440 Brockton Ave Ste 420 , Riverside CA 92501-4026. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mario Carcamo Md Inc can be contacted via phone (951) 684-8020, or through Carcamo, Mario P via phone (951) 684-8020.

Contact Information

Primary practice address
4440 Brockton Ave Ste 420 Riverside CA 92501-4026
Phone: (951) 684-8020
Fax: (951) 684-8090
Website:
Map and Directions
Authorized official contact:
Name: Carcamo, Mario P Doctor of Medicine (MD)
Phone: (951) 684-8020

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A35551 California

Profile Details

NPI number 1821271412
LBN Legal business name Mario Carcamo Md Inc
DBA Doing business as
Authorized official Carcamo, Mario P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Dec 6th, 2007 - about 17 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 1821271412 NPPES
California MEDICAID GR0102440

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