Organization
GENESIS COMPREHENSIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRON KENNETH HAKHAMIMI M.D. (MEDICAL DIRECTOR)
(323) 697-2330
Entity
Organization
Contact information
Practice address
191 S BUENA VISTA ST STE 335, BURBANK, CA 91505-4562
(818) 561-4733
Mailing address
191 S BUENA VISTA ST STE 335, BURBANK, CA 91505-4562
(818) 561-4733
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A74169
CA
Other
Enumeration date
03/16/2017
Last updated
10/14/2020
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