Individual
JIMMY R CAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1425 W ARTESIA BLVD, SUITE # 26, GARDENA, CA 90248-3231
(310) 323-0884
Mailing address
1425 W ARTESIA BLVD, SUITE # 26, GARDENA, CA 90248-3231
(310) 323-0884
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
930
CA
156FX1800X
Optician
D6907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112600
EYEMED
CA
01
—
1399
MEDICAL EYE SERVICES
CA
05
—
DX0037630
—
CA
01
—
JO18693
SPECTERA
CA
Enumeration date
03/22/2007
Last updated
09/11/2025
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