MEDICARE: MR. JESUS CAMPOS JR. ODF COUNSELOR

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	171M00000X	Case Manager/Care Coordinator	6301	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6301	OTHER	CA	CAS REGISTRATION

General Provider Information

NPI Number	:	1790965804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JESUS CAMPOS JR. ODF COUNSELOR

Provider Business Mailing Address
First Line	:	5850 TOWNE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-1324
Country	:	US
Telephone Number	:	323-232-7555
Fax Number	:	323-232-7655

Provider Business Practice Location Address
First Line	:	5850 TOWNE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-1324
Country	:	US
Telephone Number	:	323-232-7555
Fax Number	:	323-232-7655

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

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	11/06/2007

Similar Medicare Providers

1215883087 — LEANN H TANG
Practice Location Address:

5595 HUNTINGTON DR N
LOS ANGELES, CA
90032-1324

Practice Phone: 323-576-2938
Practice Fax:

1528075967 — DR. STEVEN K LIU DDS
Practice Location Address:

455 N MEDNIK AVE
LOS ANGELES, CA
90022-1324

Practice Phone: 323-267-1343
Practice Fax: 323-267-1950

1942317391 — GREGORY W HENDEY MD
Practice Location Address:

757 WESTWOOD PLZ
LOS ANGELES, CA
90095-1324

Practice Phone: 310-794-0580
Practice Fax: 310-794-0599

1891811857 — DR. DONALD KILHEFNER PH.D.
Practice Location Address:

1324 N STANLEY AVE
LOS ANGELES, CA
90046-4014

Practice Phone: 323-874-8297
Practice Fax:

1982885729 — STEVEN K. LIU, DDS, INC.
Practice Location Address:

455 N. MEDNIK AVE
LOS ANGELES, CA
90022-1324

Practice Phone: 323-267-1343
Practice Fax: 323-267-1950

1235473976 — GRACE CHANG TAKAHASHI NP
Practice Location Address:

757 WESTWOOD PLZ
LOS ANGELES, CA
90095-1324

Practice Phone: 310-825-6301
Practice Fax:

Directions to “ MR. JESUS CAMPOS JR. ODF COUNSELOR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.