MEDICARE: SALMAAN ZAKI KAMAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	38908	AL
2	207R00000X	Internal Medicine Physician	112436	GA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207R00000X	Internal Medicine Physician	A178503	CA

General Provider Information

NPI Number	:	1023505534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALMAAN ZAKI KAMAL

Provider Business Mailing Address
First Line	:	10640 WILKINS AVE APT 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5873
Country	:	US
Telephone Number	:	205-292-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 GLENDON AVE STE 900
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3513
Country	:	US
Telephone Number	:	310-794-2268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	06/10/2026

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Directions to “ SALMAAN ZAKI KAMAL ” Practice Location

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