Kamron Kenneth Hakhamimi
Family Doctor - Adult Medicine Family Doctor - Addiction Medicine
191 S Buena Vista St Ste 335
Burbank
, California 91505-4562
Kamron Kenneth Hakhamimi
Family Doctor - Adult Medicine Family Doctor - Addiction Medicine
191 S Buena Vista St Ste 335
Burbank
, California 91505-4562
(323) 697-2330
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Kamron Kenneth Hakhamimi
- Po Box 40009
- Studio City, CA
- Zip : 91614-4009
- Phone : (323) 697-2330
Second Address
- Kamron Kenneth Hakhamimi
- 191 S Buena Vista St Ste 335
- Burbank, CA
- Zip : 91505-4562
- Phone : (818) 561-4733
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Is Kamron Kenneth Hakhamimi a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | A74169 | CA |
| N | 207QA0505X | Family Doctor - Adult Medicine | A74169 | CA |
National Provider Identifier
| NPI | 1366742629 |
|---|---|
| Provider Name | Kamron Kenneth Hakhamimi |
| First Address | Studio City, CA 91614-4009 |
| Second Address | Burbank, CA 91505-4562 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2010 |
| Last Update Date | 20/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1629525274 | NPI#2 (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.