Individual
CAMERON ISAO OBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410 SAMARITAN DR, SUITE 201, SAN JOSE, CA 95124-3909
(408) 371-9010
(408) 371-2633
Mailing address
2410 SAMARITAN DR, SUITE 201, SAN JOSE, CA 95124-3909
(408) 371-9010
(408) 371-2633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A68975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A689750
RAILROAD MEDICARE
CA
Enumeration date
04/25/2006
Last updated
04/22/2024
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