Individual
LEEZA CAMACHO WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1140 W LA VETA AVE STE 770, ORANGE, CA 92868-4229
(714) 835-8715
Mailing address
1140 W LA VETA AVE STE 770, ORANGE, CA 92868-4229
(714) 835-8715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
462152
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
NP95008565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
08/08/2013
Last updated
08/03/2022
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