Individual
CAMILLA S MCCALMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FAIRMOUNT AVE, STE 3, EL CERRITO, CA 94530-3624
(510) 527-8865
(510) 527-4123
Mailing address
145 HILLSIDE AVE, PIEDMONT, CA 94611-3904
(510) 527-8865
(510) 527-4123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A48293
CA
207NS0135X
Procedural Dermatology Physician
A48293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A482930
BLUE SHIELD
CA
05
—
00A482931
—
CA
Enumeration date
06/13/2005
Last updated
05/29/2020
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