Basic Information
| Provider Information | |||||||||
| NPI: | 1598761710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAMACHO | ||||||||
| FirstName: | ELBER | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1180 N INDIAN CANYON DR | ||||||||
| Address2: | E218 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922624800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604164880 | ||||||||
| FaxNumber: | 7604164875 | ||||||||
| Practice Location | |||||||||
| Address1: | 1180 N INDIAN CANYON DR | ||||||||
| Address2: | STE E218 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922624885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604164880 | ||||||||
| FaxNumber: | 7604164875 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G25848 | CA | X | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | G25848 | CA | X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.