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NPI Code Detail

MEDICARE: EVELYN CAMACHO

MEDICARE: EVELYN CAMACHO
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation PractitionerCA
3101Y00000XCounselor

General Provider Information

NPI Number : 1730227448
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN CAMACHO
Provider Business Mailing Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number :
Provider Business Practice Location Address
First Line : 2481 HARRISON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-2710
Country : US
Telephone Number : 415-285-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 06/02/2025

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Directions to “ EVELYN CAMACHO ” Practice Location

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