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Mia Domingo Camcam, NP
Family Nurse Practitioner in Torrance, California
NPI 1740352301

Mia Domingo Camcam is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Mia Domingo Camcam practices in Torrance, CA and has the professional credentials of NP. The NPI Number for Mia Domingo Camcam is 1740352301 and holds a License No. 15818 (California).

The current practice location address for Mia Domingo Camcam is 23600 Telo Ave, Torrance, CA and can be reached out via phone at 310-325-3084 and via fax at 310-325-4938.

Location: 23600 Telo Ave, Torrance, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740352301
Provider Name
Mia Domingo Camcam
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
23600 Telo Ave, Torrance, CA, 90045-5631
Phone Number
310-325-3084
Fax Number
310-325-4938
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0NP158180 05 CA
institution
Provider Business Practice Location Address Details
Address
23600 Telo Ave
City
Torrance
State
California
Zip
90505-4035
Phone Number
310-325-3084
Fax Number
310-325-4938
person
Provider Business Mailing Address Details
Address
23600 Telo Ave
City
Torrance
State
California
Zip
90505-4035
Phone Number
310-325-3084
Fax Number
310-325-4938
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
15818 (California)
Definition
Definition to come...
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