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General NPI Number Information
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NPI Number | 1255548327
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Entity Type | Individual
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Provider Name | JOSE CAMACHO MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1825 4TH ST FL 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2350
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Country | US
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Telephone | 415-476-2757
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 495
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City | DEL MAR
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State | CA
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Zip | 92014-0495
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Country | US
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Telephone | 858-837-2990
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Fax | 858-793-5640
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C43174
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | C43174
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License Number State | CA
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