Provider Demographics
NPI:1952012437
Name:DAVID, GIOVANNI OCAMPO
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:OCAMPO
Last Name:DAVID
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 1:936 W HUNTINGTON DR APT O
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6517
Mailing Address - Country:US
Mailing Address - Phone:562-607-7729
Mailing Address - Fax:
Practice Address - Street 1:936 W HUNTINGTON DR APT O
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6517
Practice Address - Country:US
Practice Address - Phone:562-607-7729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant