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Organization

DAVID J. CAMPISI, M.D., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLA MENKEE BUFF (OFFICE MANAGER)
(310) 831-8952
Entity
Organization

Contact information

Practice address
1360 W 6TH ST, NORTH BUILDING, SUITE 315, SAN PEDRO, CA 90732-3514
(310) 831-8952
(310) 831-0568
Mailing address
1360 W 6TH ST, NORTH BUILDING, SUITE 315, SAN PEDRO, CA 90732-3514
(310) 831-8952
(310) 831-0568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G25065
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OOG250651
CA
Enumeration date
01/25/2008
Last updated
06/29/2010
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