Individual provider · Type 1 NPI

Mia Domingo Camcam, NP

Family Nurse Practitioner · Torrance, CA

NPI number 1740352301 Active

Practice location

23600 Telo Ave, Suite 150
Torrance, CA 90505-4035

Fax (310) 325-4938

Mailing address

5767 W Century Blvd, Suite 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15818 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1740352301

Mia Domingo Camcam, NP's National Provider Identifier is 1740352301, issued on Nov 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Torrance, CA. The record was last updated on Feb 11, 2011.