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Organization
CONSUELO TERESA M. OCAMPO, M.D. INC.
Active
Organization
CONSUELO TERESA M. OCAMPO, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSUELO TERESA M. OCAMPO M.D. (PRESIDENT)
(951) 695-7228
Entity
Organization
Contact information
Practice address
29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
(951) 695-7228
(951) 695-7023
Mailing address
29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
(951) 695-7228
(951) 695-7023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A52309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A523091
—
CA
Enumeration date
03/22/2010
Last updated
03/22/2010
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