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Organization
GENESIS OCCUPATIONAL MEDICAL CLINIC INC
Active
Organization
GENESIS OCCUPATIONAL MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRON KENNETH HAKHAMIMI M.D. (MEDICAL DIRECTOR)
(323) 697-2330
Entity
Organization
Contact information
Practice address
191 S BUENA VISTA ST, 335, BURBANK, CA 91505-4554
(323) 697-2330
Mailing address
PO BOX 40009, STUDIO CITY, CA 91614-4009
(323) 697-2330
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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