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NPI Code Detail

MEDICARE: ROBERTO SAMUEL CAMOU

MEDICARE: ROBERTO SAMUEL CAMOU
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
1363A00000XPhysician Assistant64103CA

General Provider Information

NPI Number : 1386418796
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO SAMUEL CAMOU
Provider Business Mailing Address
First Line : 330 E 8TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2312
Country : US
Telephone Number : 619-662-4100
Fax Number : 619-434-3514
Provider Business Practice Location Address
First Line : 330 E 8TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2312
Country : US
Telephone Number : 619-662-4100
Fax Number : 619-434-3514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 05/27/2026

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Directions to “ ROBERTO SAMUEL CAMOU ” Practice Location

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