Healthcare Provider Details

I. General information

NPI: 1699800441
Provider Name (Legal Business Name): FRANKLIN DELANO KAMIAN R.PH., MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANKLIN DELANO KAMIAN R.PH.

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 PEBBLE BEACH DR
APTOS CA
95003-5731
US

IV. Provider business mailing address

329 PEBBLE BEACH DR
APTOS CA
95003-5731
US

V. Phone/Fax

Practice location:
  • Phone: 831-688-7274
  • Fax: 831-688-3798
Mailing address:
  • Phone: 831-688-7274
  • Fax: 831-688-3798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23804
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: