Healthcare Provider Details

I. General information

NPI: 1487352134
Provider Name (Legal Business Name): DR. KAMRON HUNTER CALL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 TIVERTON AVE
LOS ANGELES CA
90095-8361
US

IV. Provider business mailing address

4845 EDDLEMAN DR
FORT WORTH TX
76244-9122
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-4705
  • Fax: 310-206-5349
Mailing address:
  • Phone: 801-510-8584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: