| Doctor Name: | MR. JOSE GUASQUE OCAMPO |
| NPI Number: | 1124248661 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 841 San Bruno Ave W Suite 1 San Bruno, CA - 940663443 |
| Business Phone Number: | 4153757608 |
| Business Fax Number: | 6505895103 |
| Mailing Address: | 841 San Bruno Ave W, Suite 1 SAN BRUNO |
| State: | CA |
| Postal Code: | 940663443 |
| Phone Number: | 4153757608 |
| Fax Number: | 6505895103 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |