Individual
IVAN J KAMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21555 OXNARD ST, 6G, WOODLAND HILLS, CA 91367-4943
(818) 234-6317
Mailing address
2810 FORRESTER DR, LOS ANGELES, CA 90064-4662
(818) 234-6317
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
G 31326
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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