Individual
DR. DAVID CAMUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21300 ROSCOE BLVD, CANOGA PARK, CA 91304-4213
(818) 704-1255
(818) 704-1251
Mailing address
3095 EAGLEWOOD AVE, THOUSAND OAKS, CA 91362-1159
(805) 523-8234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7426T
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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