Individual
DR. ENRIQUE CAMACHO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
862 AEROVISTA PL STE 100, SAN LUIS OBISPO, CA 93401-8758
(805) 549-8023
(805) 549-8252
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A12825
CA
Other
Enumeration date
07/10/2013
Last updated
11/03/2025
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