MEDICARE: DR. JUDITH CAMPOS D.C

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
1	111N00000X	Chiropractor	B02119	NV

General Provider Information

NPI Number	:	1649155979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH CAMPOS D.C

Provider Business Mailing Address
First Line	:	8560 S EASTERN AVE STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2833
Country	:	US
Telephone Number	:	760-600-3977
Fax Number	:	760-600-3977

Provider Business Practice Location Address
First Line	:	8560 S EASTERN AVE STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2833
Country	:	US
Telephone Number	:	760-600-3977
Fax Number	:	760-600-3977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/06/2025

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Directions to “ DR. JUDITH CAMPOS D.C” Practice Location

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