Organization
ESTUS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CAMPA (PRESIDENT)
(310) 922-3858
Entity
Organization
Contact information
Practice address
6981 BIRDVIEW AVE, MALIBU, CA 90265-4105
(310) 922-3858
Mailing address
6981 BIRDVIEW AVE, MALIBU, CA 90265-4105
(310) 922-3858
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127923
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
10/20/2016
Last updated
10/20/2016
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