| Genesis Occupational Medical Clinic Inc | |
|
191 S Buena Vista St 335 Burbank CA 91505-4554 | |
| (323) 697-2330 | |
| Not Available |
| Full Name | Genesis Occupational Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 191 S Buena Vista St, Burbank, California |
| Authorized Official Name and Position | Kamron Kenneth Hakhamimi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3236972330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Occupational Medical Clinic Inc Po Box 40009 Studio City CA 91614-4009 Ph: (323) 697-2330 | Genesis Occupational Medical Clinic Inc 191 S Buena Vista St 335 Burbank CA 91505-4554 Ph: (323) 697-2330 |
| NPI Number | 1902342496 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902342496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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