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NPI Code Detail

MEDICARE: HEDWIG M DE OCAMPO

MEDICARE: HEDWIG M DE OCAMPO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1063546711
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEDWIG M DE OCAMPO
Provider Business Mailing Address
First Line : 2000 ALAMEDA DE LAS PULGAS STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-1293
Country : US
Telephone Number : 650-372-8518
Fax Number :
Provider Business Practice Location Address
First Line : 2000 ALAMEDA DE LAS PULGAS STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-1293
Country : US
Telephone Number : 650-372-8518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 03/09/2021

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Directions to “ HEDWIG M DE OCAMPO ” Practice Location

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