Provider Demographics
NPI:1427196534
Name:CAMPINS, MONICA - (LAC)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:-
Last Name:CAMPINS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 COLORADO BLVD
Mailing Address - Street 2:#206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1400
Mailing Address - Country:US
Mailing Address - Phone:323-257-1901
Mailing Address - Fax:
Practice Address - Street 1:1551 COLORADO BLVD
Practice Address - Street 2:#206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1400
Practice Address - Country:US
Practice Address - Phone:323-257-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4679171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist