Alberto Luis Campos Sr.
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
Details
- NPI
- 1801404686
- Entity type
- Individual (NPI-1)
- Name
- Alberto Luis Campos Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
5811 S San Pedro StLos Angeles, CA 90011-5323
Phone 323-234-4445 · Fax 323-234-4477
Mailing address
5811 S San Pedro StLos Angeles, CA 90011-5323
Phone 323-234-4445
Other practice locations
Pasadena, CA 91124-0001
Phone 626-395-7100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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