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Ivon Campo, M
Specialist in Anaheim, California
NPI 1306835947

Ivon Campo is a Specialist based in Anaheim, CA. Ivon Campo practices in Anaheim, CA and has the professional credentials of M. The NPI Number for Ivon Campo is 1306835947 and holds a License No. C43138 (California).

The current practice location address for Ivon Campo is 3055 W Orange Ave, Anaheim, CA and can be reached out via phone at 714-527-1262. You can also correspond with Ivon Campo through the mailing address at 3055 W ORANGE AVE, ANAHEIM, CA - 92804-3159 (mailing address contact number: 714-527-1262).

Location: 3055 W Orange Ave, Anaheim, CA, 92804-3159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306835947
Provider Name
Ivon Campo
Credential
M
Provider Entity Type
Individual
Gender
Male
Address
3055 W Orange Ave, Anaheim, CA, 92804-3159
Phone Number
714-527-1262
Fax Number
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A348130 05 CA
institution
Provider Business Practice Location Address Details
Address
3055 W Orange Ave
City
Anaheim
State
California
Zip
92804-3159
Phone Number
714-527-1262
Fax Number
person
Provider Business Mailing Address Details
Address
3055 W Orange Ave
City
Anaheim
State
California
Zip
92804-3159
Phone Number
714-527-1262
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C43138 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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