Individual
JOSE EFRAIN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
Mailing address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NA
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-QRYLMA
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/18/2024
Last updated
08/12/2025
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