Healthcare Provider Details

I. General information

NPI: 1831591544
Provider Name (Legal Business Name): VIRGILIO OCAMPO FNP-DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: VIRGILIO OCAMPO FNP-DNP

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY LANE
CAMP PENDLETON CA
92055-5191
US

IV. Provider business mailing address

1411 N MELROSE DR # 8-304
VISTA CA
92083-4912
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-4644
  • Fax:
Mailing address:
  • Phone: 360-265-5407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60782864
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: