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NPI Code Detail

MEDICARE: IVY KAM PHARMD

MEDICARE:   IVY  KAM  PHARMD
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
1183500000XPharmacistRPH51283CA

General Provider Information

NPI Number : 1447187893
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVY KAM PHARMD
Provider Business Mailing Address
First Line : 7970 SURREY LN
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7970 SURREY LN
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4223
Country : US
Telephone Number : 650-303-8418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ IVY KAM PHARMD” Practice Location

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