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Individual

JOSE CAMACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143-2350
(415) 476-2757
Mailing address
PO BOX 495, DEL MAR, CA 92014-0495
(858) 837-2990
(858) 793-5640

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
C43174
CA
208000000X
Pediatrics Physician
C43174
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C431740
CA
Enumeration date
05/17/2007
Last updated
05/13/2025
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