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Organization
ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION
Active
Parent organization
ERICK F. CARCAMO MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERICK F. CARCAMO MD
Authorized official
ERICK F CARCAMO MD (MEDICAL DOCAATOR)
(626) 337-1360
Entity
Organization
Contact information
Practice address
14650 PACIFIC AVE, BALDWIN PARK, CA 91706-5333
(626) 337-1360
(626) 338-3861
Mailing address
14307 RAMONA BLVD, BALDWIN PARK, CA 91706-3242
(626) 337-1360
(626) 338-3861
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A533290
—
CA
01
—
05D0906608
CLIA
CA
Enumeration date
04/13/2009
Last updated
06/17/2019
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