Healthcare Provider Details

I. General information

NPI: 1720720121
Provider Name (Legal Business Name): ALEXIS-NENEH LINDO CAMBA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24191 PASEO DE VALENCIA STE E
LAGUNA WOODS CA
92637-3135
US

IV. Provider business mailing address

24191 PASEO DE VALENCIA STE E
LAGUNA WOODS CA
92637-3135
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-1177
  • Fax: 949-855-6939
Mailing address:
  • Phone: 949-855-1177
  • Fax: 949-855-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number6251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: