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NPI Code Detail

MEDICARE: MISS KOREANA CAMPOS

MEDICARE:  MISS KOREANA  CAMPOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1619172582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KOREANA CAMPOS
Provider Business Mailing Address
First Line : 5232 E FALLS VIEW DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-1421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5232 E FALLS VIEW DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-1421
Country : US
Telephone Number : 760-985-7933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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Directions to “ MISS KOREANA CAMPOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.