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NPI Code Detail

MEDICARE: ELVIA ERIKA CAMPOS

MEDICARE: ELVIA ERIKA CAMPOS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1891829263
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIA ERIKA CAMPOS
Provider Business Mailing Address
First Line : 8149 VANTAGE AVE
Second Line :
City : N HOLLYWOOD
State : CA
Zip : 91605-1438
Country : US
Telephone Number : 818-767-6260
Fax Number :
Provider Business Practice Location Address
First Line : 13130 BURBANK BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91401-6037
Country : US
Telephone Number : 818-779-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ ELVIA ERIKA CAMPOS ” Practice Location

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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.

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