Ildefonso Timple Campomanes in Lakeport - Orthopedic
Ildefonso Timple Campomanes - NPI 1588877666
Ildefonso Timple Campomanes is a Orthopedic in Lakeport, California. Ildefonso Timple Campomanes practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Ildefonso Timple Campomanes is 1588877666. The last update date is 2008-08-05.
Ildefonso Timple Campomanes's current location address is 1281 Craig Ave, Lakeport, California. You can contact this provider via phone number 7072634564 and fax number 7072634572. The mailing address for Ildefonso Timple Campomanes is 1281 Craig Ave, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ildefonso Timple Campomanes |
|---|---|
| Address | 1281 Craig Ave, Lakeport, California |
| Phone Number | 7072634564 |
| Fax Number | 7072634572 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1588877666 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 1281 Craig Ave |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954535704 |
| Phone Number | 7072634564 |
| Fax Number | 7072634572 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 34058 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Ildefonso Timple Campomanes by the Centers for Medicare & Medicaid Services (CMS)?
The Ildefonso Timple Campomanes has been assigned the NPI (National Provider Identifier) 1588877666. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Ildefonso Timple Campomanes?
The Ildefonso Timple Campomanes is physically situated at 1281 Craig Ave, in the city of Lakeport, state of CA, with the postal code 954535704.
What is Ildefonso Timple Campomanes's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ildefonso Timple Campomanes is Orthopedic, and the taxonomy code that categorizes this field of expertise is 2251X0800X.
On what date was the 1588877666 assigned to Ildefonso Timple Campomanes?
The Ildefonso Timple Campomanes was issued its 1588877666 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Ildefonso Timple Campomanes's information last updated?
The Ildefonso Timple Campomanes's information was last updated on 2008-08-05.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL