# LA CAMBRA CO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013264399
- **Authorized official:** MARK DOMBO (CEO)
- **Authorized official phone:** (913) 424-7000

## Contact information

- **Practice address:** 727 N WACO AVE, WICHITA, KS 67203-3951
- **Practice address phone:** (913) 424-7000
- **Mailing address:** 727 N WACO AVE, WICHITA, KS 67203-3951
- **Mailing address phone:** (913) 424-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 50401 | KS | Yes |

## Other

- **Enumeration date:** 08/06/2012
- **Last updated:** 09/18/2012