Individual
DR. EMILLIE DE OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 FLORIDA AVE, F, MODESTO, CA 95350-4437
(209) 549-7090
(209) 549-7099
Mailing address
737 W CHILDS AVE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A73019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A730190
BLUE SHIELD OF CA PIN
CA
05
—
00A730190
—
CA
01
—
057811
BOARD CERTIFICATION #
CA
Enumeration date
11/18/2005
Last updated
03/07/2023
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