Provider Demographics
NPI:1245236934
Name:VALENCIA-CAMPBELL, AMBER ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ANN
Last Name:VALENCIA-CAMPBELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 MISSION GORGE RD
Mailing Address - Street 2:STE L
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-3026
Mailing Address - Country:US
Mailing Address - Phone:619-449-8100
Mailing Address - Fax:619-258-2010
Practice Address - Street 1:10201 MISSION GORGE RD
Practice Address - Street 2:STE L
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-3026
Practice Address - Country:US
Practice Address - Phone:619-449-8100
Practice Address - Fax:619-258-2010
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0288650Medicaid
V00362Medicare UPIN
DC28865Medicare ID - Type Unspecified