Individual
KAMRON KENNETH HAKHAMIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 S BUENA VISTA ST STE 335, BURBANK, CA 91505-4562
(818) 561-4733
Mailing address
PO BOX 40009, STUDIO CITY, CA 91614-4009
(323) 697-2330
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A74169
CA
207QA0505X
Adult Medicine Physician
A74169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629525274
NPI#2
CA
Enumeration date
11/02/2010
Last updated
08/20/2020
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