| Ralph Camacho Jr MD Inc | |
|
5565 West Las Positas Blvd Suite 260 Pleasanton CA 94588-5807 | |
| (925) 460-0700 | |
| (925) 734-0517 |
| Full Name | Ralph Camacho Jr MD Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5565 West Las Positas Blvd, Pleasanton, California |
| Authorized Official Name and Position | Ralph Camacho (PRESIDENT RALPH CAMACHO JR MD INC) |
| Authorized Official Contact | 9254600700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Camacho Jr MD Inc 5565 West Las Positas Blvd Suite 260 Pleasanton CA 94588-5807 Ph: (925) 460-0700 | Ralph Camacho Jr MD Inc 5565 West Las Positas Blvd Suite 260 Pleasanton CA 94588-5807 Ph: (925) 460-0700 |
| NPI Number | 1275680639 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275680639 | NPI | - | NPPES |
| 7591118 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G27622 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | G27622 (California) | Primary |
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