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Individual

DR. VITO CAMPESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A30581
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A305810
BLUE SHILD
CA
05
00A305810
CA
01
1356390009
GROUP NPI
CA
01
1902846306
GROUP NPI
CA
01
390006176
RAILROAD MEDICARE
CA
01
CE1617
GROUP RAILROAD MEDICARE
CA
01
GR0016910
GROUP MEDICAID PIN
CA
01
GR0100430
GROUP MEDICAL
CA
01
W11675
GROUP MEDICARE PIN
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
06/28/2006
Last updated
03/13/2015
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