Provider Demographics
NPI:1164130472
Name:OCAMPO, CESAR S II
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:S
Last Name:OCAMPO
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 LA MONARCA LN APT 306
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-7519
Mailing Address - Country:US
Mailing Address - Phone:808-457-6993
Mailing Address - Fax:
Practice Address - Street 1:1557 LA MONARCA LN APT 306
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-7519
Practice Address - Country:US
Practice Address - Phone:808-457-6993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman