Organization
CONSUELO TERESA M. OCAMPO, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSUELO TERESA M. OCAMPO M.D. (PRESIDENT)
(951) 695-7228
Entity
Organization
Contact information
Practice address
29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
(951) 695-7228
(951) 695-7023
Mailing address
29645 RANCHO CALIFORNIA RD., SUITE 138, TEMECULA, CA 92591
(951) 695-7228
(951) 695-7023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A52309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A523091
—
CA
Enumeration date
03/22/2010
Last updated
03/22/2010
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