# CARLOS DEL CAMPO MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1730222589
- **Authorized official:** DR. CARLOS DEL CAMPO M.D. (PRESIDENT)
- **Authorized official phone:** (714) 446-8920

## Contact information

- **Practice address:** 301 W BASTANCHURY RD, SUITE 195, FULLERTON, CA 92835-3419
- **Practice address phone:** (714) 446-8920
- **Practice address fax:** (714) 446-8923
- **Mailing address:** 301 W BASTANCHURY RD, SUITE 195, FULLERTON, CA 92835-3419
- **Mailing address phone:** (714) 446-8920
- **Mailing address fax:** (714) 446-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A52167 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020
