Provider Demographics
NPI:1669596631
Name:CAMACHO, NORMA PATRICIA
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:PATRICIA
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:PATRICIA
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65 N MADISON AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2035
Mailing Address - Country:US
Mailing Address - Phone:909-466-7722
Mailing Address - Fax:888-893-1161
Practice Address - Street 1:65 N MADISON AVE
Practice Address - Street 2:STE 201
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2035
Practice Address - Country:US
Practice Address - Phone:909-466-7722
Practice Address - Fax:888-893-1161
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2488237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter