Healthcare Provider Details

I. General information

NPI: 1306781893
Provider Name (Legal Business Name): MARGARITA CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 LONG BEACH BLVD STE 750
LONG BEACH CA
90807-2013
US

IV. Provider business mailing address

4300 LONG BEACH BLVD STE 750
LONG BEACH CA
90807-2013
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-4525
  • Fax:
Mailing address:
  • Phone: 562-595-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: