Doctor Name: | LELYS CAMPOS |
NPI Number: | 1225163991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 00A363580 |
Business Practice Address: | 8809 Sunland Blvd Sun Valley, CA - 913522841 |
Business Phone Number: | 8182527550 |
Business Fax Number: | 8182527552 |
Mailing Address: | 8809 Sunland Blvd, SUN VALLEY |
State: | CA |
Postal Code: | 913522841 |
Phone Number: | 8182527550 |
Fax Number: | 8182527552 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 00A363580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |