Healthcare Provider Details

I. General information

NPI: 1649700618
Provider Name (Legal Business Name): CAMARENA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E ALMOND AVE
MADERA CA
93637-5617
US

IV. Provider business mailing address

PO BOX 299
MADERA CA
93639-0299
US

V. Phone/Fax

Practice location:
  • Phone: 559-664-4000
  • Fax:
Mailing address:
  • Phone: 559-664-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. PAULO A. SOARES
Title or Position: CEO
Credential:
Phone: 559-664-4000