# KC CAMPBELL MD A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1114085230
- **Authorized official:** K. C. CAMPBELL MD (PRESIDENT)
- **Authorized official phone:** (619) 482-3612

## Contact information

- **Practice address:** 751 MEDICAL CENTER CT, DEPARTMENT OF PATHOLOGY, CHULA VISTA, CA 91911-6617
- **Practice address phone:** (619) 482-3612
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | G24054 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | G24054 | CA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 09/11/2025