OrganizationVanessa De Jesus Mendivil CamachoDentistDental ProvidersPractice AddressFrida Kahlo #10410 Int 303, Tijuana, Baja California 22010 (Mexico)(562) 352-0417PECOS EnrollmentBased on the most recent information from CMS, provider Vanessa De Jesus Mendivil Camacho does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033911623Provider TypeOrganizationFull NameVanessa De Jesus Mendivil CamachoSubpartNoEnumeration Date3/25/2025Last Updated3/25/2025Contact InformationPractice LocationPractice AddressFrida Kahlo #10410 Int 303, Tijuana, Baja California 22010 (Mexico)Phone(562) 352-0417Fax(562) 366-0560Mailing LocationMailing Address1685 Howard Ave, San Ysidro, CA 92173-1211Phone(562) 352-0417Fax(562) 366-0560Authorized OfficialNameMendivil Camacho, Vanessa De Jesus (Dentist)Phone(562) 352-0417Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer