Provider Demographics
NPI:1811868847
Name:LOPEZ-CAMACHO, KAREN JULIANA (PA-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JULIANA
Last Name:LOPEZ-CAMACHO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 N BROADWAY STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-3131
Mailing Address - Country:US
Mailing Address - Phone:805-354-3914
Mailing Address - Fax:
Practice Address - Street 1:919 N BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-3131
Practice Address - Country:US
Practice Address - Phone:805-354-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant