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MARIO CARCAMO MD INC NPI 1821271412


NPI Information

NPI: 1821271412
Provider Name: MARIO CARCAMO MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4440 BROCKTON AVE STE 420
RIVERSIDE, CA
ZIP 92501
Phone: (951) 684-8020
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MARIO CARCAMO MD INC is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARIO CARCAMO MD INC NPI is 1821271412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 BROCKTON AVE STE 420
RIVERSIDE, CA
ZIP 92501-026
Phone: (951) 684-8020
Fax: (951) 684-8090

The provider's authorized official is Mario P Carcamo .
The authorized official title is Ceo and has the following contact phone number (951) 684-8020.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 12/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA35551CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0102440MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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