Healthcare Provider Details

I. General information

NPI: 1538402896
Provider Name (Legal Business Name): ERIC DONALD CAMIRAND RCP, RRT-NPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 WALDPORT LN
BAKERSFIELD CA
93309-5489
US

IV. Provider business mailing address

13652 CANTARA ST # AREA109
PANORAMA CITY CA
91402-5423
US

V. Phone/Fax

Practice location:
  • Phone: 661-373-4022
  • Fax:
Mailing address:
  • Phone: 818-375-2901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number14532
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License Number14532
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number55104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: