Healthcare Provider Details

I. General information

NPI: 1285876813
Provider Name (Legal Business Name): KAMAL H. ARTIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 DISCOVERY
IRVINE CA
92618-3142
US

IV. Provider business mailing address

62 DISCOVERY
IRVINE CA
92618-3142
US

V. Phone/Fax

Practice location:
  • Phone: 949-451-1789
  • Fax: 949-451-1431
Mailing address:
  • Phone: 949-451-1789
  • Fax: 949-451-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA72231
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberA72231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: