Individual
DR. BABAK KAMKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., Q.M.E.
Contact information
Practice address
1104 E COLORADO ST, GLENDALE, CA 91205-1309
(818) 500-8008
(818) 500-8075
Mailing address
1104 E COLORADO ST, GLENDALE, CA 91205-1309
(818) 500-8008
(818) 500-8075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8512T
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT8512T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT8512T
CA
152WP0200X
Pediatric Optometrist
OPT8512T
CA
152WX0102X
Occupational Vision Optometrist
OPT8512T
CA
173000000X
Legal Medicine
960487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085120
—
CA
05
—
SD0085121
—
CA
Enumeration date
06/27/2005
Last updated
10/27/2021
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