Healthcare Provider Details

I. General information

NPI: 1568120723
Provider Name (Legal Business Name): CAMARENA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 12/06/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 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: 559-675-5625
Mailing address:
  • Phone: 559-664-4000
  • Fax: 559-675-5625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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