Individual provider · NPI-1

Liliana Camacho, PA-C

Physician Assistant · Moorpark, CA

NPI number1154823748
StatusActive
Last updated in NPPESApr 26, 2018

Details

NPI
1154823748
Entity type
Individual (NPI-1)
Name
Ms. Liliana Camacho
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2018
Last updated
Apr 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA55356CAYes

Practice location

4279 Tierra Rejada Rd
Moorpark, CA 93021-3775

Phone 805-222-2323 · Fax 805-222-2333

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092

Phone 805-673-3930 · Fax 805-659-3217

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