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Organization
ROC MEDICAL
Active
Organization
ROC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD O CAMACHO M.D. (OWNER)
(209) 227-7806
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST STE 406, STOCKTON, CA 95204-6033
(209) 227-7806
(209) 851-3853
Mailing address
1805 N CALIFORNIA ST STE 406, STOCKTON, CA 95204-6033
(209) 227-7806
(209) 851-3853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A93056
CA
261QP2300X
Primary Care Clinic/Center
A93056
CA
Other
Enumeration date
11/20/2017
Last updated
10/28/2018
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