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General NPI Number Information
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NPI Number | 1528057957
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Entity Type | Organization
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Legal Business Name | ROKAY KAMYAR, M.D. INC.
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 5119 GARFIELD ST
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City | LA MESA
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State | CA
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Zip | 91941-5103
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Country | US
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Telephone | 619-460-4055
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Fax | 619-460-5148
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Provider Business Mailing Address
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Address Line | 5119 GARFIELD ST
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City | LA MESA
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State | CA
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Zip | 91941-5103
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Country | US
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Telephone | 619-460-4055
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Fax | 619-460-5148
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATHERINE HENDRICKSON
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Credential |
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Telephone | 619-460-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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