Healthcare Provider Details

I. General information

NPI: 1871388702
Provider Name (Legal Business Name): AK DIAGNOSTIC LAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 E CHAPMAN AVE STE B
ORANGE CA
92866-1647
US

IV. Provider business mailing address

531 E CHAPMAN AVE STE B
ORANGE CA
92866-1647
US

V. Phone/Fax

Practice location:
  • Phone: 714-494-9430
  • Fax:
Mailing address:
  • Phone: 714-494-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW KAMI
Title or Position: CEO
Credential: PHD
Phone: 714-494-9430