Healthcare Provider Details

I. General information

NPI: 1346305786
Provider Name (Legal Business Name): AURORA-ARLENE ROQUE KAMEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GARFIELD AVE
MONTEREY PARK CA
91754-1202
US

IV. Provider business mailing address

PO BOX 1359
SAN CLEMENTE CA
92674-1359
US

V. Phone/Fax

Practice location:
  • Phone: 626-573-2222
  • Fax: 949-366-2390
Mailing address:
  • Phone: 949-492-3514
  • Fax: 949-366-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA54754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: