# GENESIS OCCUPATIONAL MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902342496
- **Authorized official:** DR. KAMRON KENNETH HAKHAMIMI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (323) 697-2330

## Contact information

- **Practice address:** 191 S BUENA VISTA ST, 335, BURBANK, CA 91505-4554
- **Practice address phone:** (323) 697-2330
- **Mailing address:** PO BOX 40009, STUDIO CITY, CA 91614-4009
- **Mailing address phone:** (323) 697-2330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/09/2017