Campo, Carla Patricia
Campo, Carla Patricia is an individual health care provider with primary practice located at 30195 Fraser Dr , Lake Elsinore CA 92530-7006. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Campo, Carla Patricia can be contacted via phone (951) 252-2720.Contact Information
Primary practice address
30195 Fraser Dr
Lake Elsinore CA 92530-7006
Phone: (951) 252-2720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 57000 | California |
Profile Details
| NPI number | 1609012830 |
|---|---|
| LBN Legal business name | Campo, Carla Patricia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2008 |
| Last updated | Mar 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609012830 | NPPES |
| California | MEDICAID | 1871689315 |
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