| Danielle Deocampo, | |
|
1403 Lomita Blvd Ste 101, Harbor City, CA 90710-2084 | |
| (310) 784-1800 | |
| Not Available |
| Full Name | Danielle Deocampo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1403 Lomita Blvd Ste 101, Harbor City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649903717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA64838 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Complete Care Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Deocampo, 13830 Tedemory Dr, Whittier, CA 90605-1034 Ph: Not Available | Danielle Deocampo, 1403 Lomita Blvd Ste 101, Harbor City, CA 90710-2084 Ph: (310) 784-1800 |
Mr. Richard Franklin Wells, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2862 Fax: 310-517-4207 |
Mr. Parker W Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25965 Normandie Ave, Harbor City, CA 90710 Phone: 310-871-4735 |
Ms. Karen Kincey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25825 S. Normandie Ave., Harbor City, CA 90222 Phone: 310-517-3301 Fax: 310-257-6457 |
Mr. Laurence Marion Rick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Kaiser Permanente,lakeside Module 5, Harbor City, CA 90710 Phone: 310-517-3332 |
Shari R Ylma, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |
Mrs. Lynne Lorraine Chambers, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25965 South Normandie Ave, Pediatrics 2nd Floor, Harbor City, CA 90710 Phone: 310-257-6183 |
Alfonso Esquivel, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1403 Lomita Blvd Ste 101, Harbor City, CA 90710 Phone: 310-784-5800 |