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NPI Code Detail

MEDICARE: BYRON KAM PHARMD

MEDICARE: BYRON KAM PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist80326CA

General Provider Information

NPI Number : 1477118628
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON KAM PHARMD
Provider Business Mailing Address
First Line : 21914 ANZA AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6904
Country : US
Telephone Number : 808-206-4225
Fax Number :
Provider Business Practice Location Address
First Line : 316 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3729
Country : US
Telephone Number : 310-540-9183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 05/03/2019

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