Ivan Campos

NPI 1437699865 · on the registry since 2017 · sole proprietor

Practice

Address: 17800 Us Highway 18
Apple Valley, CA 92307
Phone: (760) 552-6700
Organisation at this address: Desert/Mountain Children'S Center
San Bernardino County Superintendent Of Schools
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 361

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California