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General NPI Number Information
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NPI Number | 1861673048
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Entity Type | Individual
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Provider Name | VIJAY V KAMDAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 11411 BROOKSHIRE AVE STE 501
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City | DOWNEY
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State | CA
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Zip | 90241-5007
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Country | US
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Telephone | 562-861-5533
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Fax | 562-861-5535
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Provider Business Mailing Address
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Address Line | PO BOX 3279
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City | PALOS VERDES PENINSULA
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State | CA
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Zip | 90274-9279
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Country | US
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Telephone | 562-861-5533
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Fax | 562-861-5535
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A39486
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A39486
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License Number State | CA
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