{
"Npi": {
"NPI": "1811938541",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAMEL",
"FirstName": "KAMEL",
"MiddleName": "LOUIS",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KAMEL",
"OtherFirstName": "LOUIS",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5325 ALTON PKWY",
"SecondLineMailingAddress": "SUITE C # 619",
"MailingAddressCityName": "IRVINE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92604-3717",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-296-3440",
"MailingAddressFaxNumber": "949-653-0886",
"FirstLinePracticeLocationAddress": "4199 CAMPUS DR",
"SecondLinePracticeLocationAddress": "#550",
"PracticeLocationAddressCityName": "IRVINE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92612-4684",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-296-3440",
"PracticeLocationAddressFaxNumber": "949-679-2047",
"EnumerationDate": "06/10/2006",
"LastUpdateDate": "11/09/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "A48118",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}