Organization
PHILIP RYAN M CAMILON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP RYAN MOLARTE CAMILON MD (CEO)
(714) 900-1117
Entity
Organization
Contact information
Practice address
505 S MAIN ST STE 275, ORANGE, CA 92868-4547
(714) 836-6607
(714) 836-6600
Mailing address
505 S MAIN ST STE 275, ORANGE, CA 92868-4547
(714) 836-6607
(714) 836-6600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
Other
Enumeration date
08/13/2020
Last updated
08/17/2020
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