MEDICARE: ALFONSO CAMBEROS M.D., F.A.C.S.

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
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	A71492	CA
2	208600000X	Surgery Physician	A71492	CA

General Provider Information

NPI Number	:	1942225388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO CAMBEROS M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	8008 FROST ST
Second Line	:	STE 406
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4209
Country	:	US
Telephone Number	:	714-470-4354
Fax Number	:	858-430-3443

Provider Business Practice Location Address
First Line	:	8008 FROST ST
Second Line	:	STE 406
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4209
Country	:	US
Telephone Number	:	760-351-8669
Fax Number	:	760-351-8894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/16/2016

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