Individual
IVON CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
3055 W ORANGE AVE, SUITE 202, ANAHEIM, CA 92804-3159
(714) 527-1262
Mailing address
3055 W ORANGE AVE, SUITE 202, ANAHEIM, CA 92804-3159
(714) 527-1262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C43138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A348130
—
CA
Enumeration date
10/17/2005
Last updated
01/24/2013
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