MEDICARE: DAVID KAMEN MD

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	207W00000X	Ophthalmology Physician	A68735	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992706345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KAMEN MD

Provider Business Mailing Address
First Line	:	806 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1601
Country	:	US
Telephone Number	:	310-360-1440
Fax Number	:	310-360-3900

Provider Business Practice Location Address
First Line	:	806 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1601
Country	:	US
Telephone Number	:	310-360-1440
Fax Number	:	323-544-1190

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/05/2023

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Directions to “ DAVID KAMEN MD” Practice Location

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