Organization
GENESIS FUNCTIONAL RESTORATION CLINIC INC
Active
Organization
GENESIS FUNCTIONAL RESTORATION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRON KENNETH HAKHAMIMI M.D. (MEDICAL DIRECTOR)
(323) 697-2330
Entity
Organization
Contact information
Practice address
191 S BUENA VISTA ST, 335, BURBANK, CA 91505-4554
(323) 697-2330
Mailing address
191 S BUENA VISTA ST, 335, BURBANK, CA 91505-4554
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up