CAMILO S JORGE M.D. PROF CORP (NPI# 1740511369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740511369 |
| Entity Type | Organization |
| Organization Name | CAMILO S JORGE M.D. PROF CORP |
| Practice Address |
16415 Colorado Ave Suite 102 Paramount CA 90723-5035 |
| Practice Telephone | 5625311946 |
| Practice Fax Number | 5625311010 |
| Mailing Telephone | 5625311946 |
| Mailing Fax Number | 5625311010 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | DR. CAMILO S JORGE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5625311946 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A18393 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1215028238 | 01 |
| CA | 00A183931 | 05 |
| Street Address |
16415 COLORADO AVE SUITE 102 |
| City | PARAMOUNT |
| State | CA |
| Zip Code | 90723-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495855 | Jose Sia Kua | Obstetrics & Gynecology | 16415 Colorado Ave, Ste 305, Paramount, CA 90723-5035 | 2005-05-23 |
| 1295003085 | Ma. Mildred R. Rey, M.d. | Pediatrics | 16415 Colorado Ave, Ste 308, Paramount, CA 90723-5035 | 2011-12-07 |
| 1215265095 | Gregory J. Szal, M.d., Inc. | Clinic/Center | 16415 Colorado Ave, Suite 408, Paramount, CA 90723-5083 | 2009-12-06 |
| 1801031422 | Mv Imaging Inc. | Clinic/Center | 16415 Colorado Ave, Suite 402, Paramount, CA 90723-5035 | 2008-12-10 |
| 1386825966 | Ming-yi Yen M D A Professional Corporation | Obstetrics & Gynecology | 16415 Colorado Ave, Ste 301, Paramount, CA 90723-5035 | 2007-11-24 |
| 1932309317 | Koung Y Chen Md, A Professional Corporation | General Practice | 16415 Colorado Ave, Suite 101, Paramount, CA 90723-5035 | 2007-07-23 |
| 1275750861 | Anh Hong Pham | Internal Medicine | 16415 Colorado Ave, Paramount, CA 90723-5035 | 2007-04-18 |
| 1629102173 | Jayceelyn Guzman Delacruz | Nurse Practitioner | 16415 Colorado Ave, Suite 207, Paramount, CA 90723-5035 | 2007-03-15 |
| 1982734554 | Alma Yanira Alarcon-sanmiguel | Marriage & Family Therapist | 16415 Colorado Ave, 305, Paramount, CA 90723-5035 | 2007-03-06 |
| 1215028238 | Camilo S Jorge | Family Medicine | 16415 Colorado Ave, Suite 102, Paramount, CA 90723-5035 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104749 | Juaquin Zavala | Behavior Technician | 16436 1/2 Orizaba Ave, Paramount, CA 90723 | 2020-01-28 |
| 1770034324 | Magdalena Gomez | Secured Medical Transport (VAN) | 14125 Garfield Ave, Paramount, CA 90723 | 2016-10-19 |
| 1932589835 | Irvine Healthcare Acupuncture, Inc. | Acupuncturist | 16444 Paramount Blvd., Suite 208, Paramount, CA 90723 | 2015-06-05 |
| 1972990711 | Lanita Morgan | Durable Medical Equipment & Medical Supplies | 16209 Paramount Bl #207, Paramount, CA 90723 | 2015-04-20 |
| 1326430596 | Desiree Anne Moreno | Marriage & Family Therapist | 13965 Arthur Ave., Unit G, Paramount, CA 90723 | 2015-02-25 |
| 1932538071 | Fernando Guerrero | Licensed Vocational Nurse | 6636 San Marcus St, Paramount, CA 90723 | 2013-11-08 |
| 1871875336 | Marleene Garcia | Radiologic Technologist | 13962 Florine Avenue, Paramount, CA 90723 | 2011-09-12 |
| 1013246222 | Green Wells Eecp Physical Therapy | Residential Treatment Facility, Physical Disabilities | 8602 Elburg Street Apt C, Paramount, CA 90723 | 2009-12-17 |
| 1457588758 | Olivier Urayeneza | Surgery | 15942 Colorado Ave, Paramount, CA 90723 | 2009-06-15 |
| 1659543189 | Kasey Djuana Bland | Marriage & Family Therapist | 8635 Somerset Blvd, Apartment #258, Paramount, CA 90723 | 2008-03-25 |
| Find all providers in zip 90723 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659909521 | Excell Integrated Medical Group Inc | Family Medicine | 14023 Paramount Blvd, Paramount, CA 90723-2605 | 2020-03-27 |
| 1225314107 | Wellcare Medical Group | Family Medicine | 16415 S Colorado Avenue, Suite 208, Paramount, CA 90723-5054 | 2011-10-24 |
| 1003047978 | Edwin Marcelo Mangune | Family Medicine | 16660 Paramount Blvd Ste 110, Paramount, CA 90723-5457 | 2009-07-27 |
| 1295926087 | Roya Masoud | Family Medicine | 16415 Colorado Ave 410, Paramount, CA 90723-5084 | 2007-08-06 |
| 1114062163 | Centro Medico Santa Cruz Medical Center, Inc | Family Medicine | 8534 Rosecrans Ave., Paramount, CA 90723 | 2007-02-20 |
| 1124130943 | Alberto Wilches | Family Medicine | 7831 Jackson Street, Paramount, CA 90723 | 2006-08-31 |
| 1588778930 | Chander Sharma | Family Medicine | 16415 Colorado Ave Ste 304, Paramount, CA 90723-5053 | 2006-08-19 |
| 1427062348 | Nehzat Nikakhtar | Family Medicine | 16444 Paramount Blvd Ste 101, Paramount, CA 90723-5453 | 2006-07-28 |
| 1780613570 | Behrooz Bruce Yagoobian | Family Medicine | 15730 Paramount Blvd, Paramount, CA 90723-4333 | 2006-07-02 |
| 1891323770 | Behavioral Innovation In Nursing Practice | Family Medicine | 14023 Paramount Blvd, Paramount, CA 90723-2605 | 2020-03-27 |
| Find all providers in PARAMOUNT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.