De Ocampo, Emillie

De Ocampo, Emillie is an individual health care provider with primary practice located at 1510 Florida Ave F, Modesto CA 95350-4437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De Ocampo, Emillie can be contacted via phone (209) 549-7090.

Contact Information

Primary practice address
1510 Florida Ave F Modesto CA 95350-4437
Phone: (209) 549-7090
Fax: (209) 549-7099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A73019 California

Profile Details

NPI number 1609858182
LBN Legal business name De Ocampo, Emillie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 7th, 2023 - about 3 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 1609858182 NPPES
California Other 00A730190 BLUE SHIELD OF CA PIN
California Other 057811 BLUE SHIELD OF CA PIN
California MEDICAID 00A730190 BLUE SHIELD OF CA PIN

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