Provider Demographics
NPI:1023854460
Name:OCAMPO, CHRISTIAN PIERCE
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:PIERCE
Last Name:OCAMPO
Suffix:
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 1:1450 MARKET ST APT 261
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-4192
Mailing Address - Country:US
Mailing Address - Phone:909-614-3100
Mailing Address - Fax:
Practice Address - Street 1:1450 MARKET ST APT 261
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4192
Practice Address - Country:US
Practice Address - Phone:909-614-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer