Individual
DANIELLE DEOCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 LOMITA BLVD STE 101, HARBOR CITY, CA 90710-2084
(310) 784-1800
Mailing address
13830 TEDEMORY DR, WHITTIER, CA 90605-1034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64838
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2022
Last updated
09/26/2024
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