Search › California › 106S00000X
Ivenn Camacho
NPI 1548150964 · on the registry since 2025
Practice
- Address
- 930 S Mount Vernon Ave, 90
Colton, CA 92324 - Phone
- (951) 565-7508
- Fax
- (951) 565-7508
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-19
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