MEDICARE: JDOC LLC

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	207T00000X	Neurological Surgery Physician	35489	AZ

General Provider Information

NPI Number	:	1801054143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JDOC LLC

Provider Business Mailing Address
First Line	:	10210 N 92ND ST STE 302
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4525
Country	:	US
Telephone Number	:	480-718-9241
Fax Number	:	480-718-9248

Provider Business Practice Location Address
First Line	:	10210 N 92ND ST STE 302
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4525
Country	:	US
Telephone Number	:	480-718-9241
Fax Number	:	480-718-9248

Authorized Official
Title or Position	:	PHYSICIAN/ OWNER
Name	:	DR. JOSE DE OCAMPO
Credential	:	MD
Telephone Number	:	480-718-9241

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	09/28/2023

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Directions to “JDOC LLC ” Practice Location

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