# CONSUELO TERESA M. OCAMPO, M.D. INC.

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

## Provider details

- **NPI number:** 1518281450
- **Authorized official:** CONSUELO TERESA M. OCAMPO M.D. (PRESIDENT)
- **Authorized official phone:** (951) 695-7228

## Contact information

- **Practice address:** 29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
- **Practice address phone:** (951) 695-7228
- **Practice address fax:** (951) 695-7023
- **Mailing address:** 29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
- **Mailing address phone:** (951) 695-7228
- **Mailing address fax:** (951) 695-7023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A52309 | CA | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A523091 | — | CA |