GENESIS OCCUPATIONAL MEDICAL CLINIC INC (NPI# 1902342496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902342496 |
| Entity Type | Organization |
| Organization Name | GENESIS OCCUPATIONAL MEDICAL CLINIC INC |
| Practice Address |
191 S Buena Vista St 335 Burbank CA 91505-4554 |
| Mailing Address |
Po Box 40009 Studio City CA 91614-4009 |
| Practice Telephone | 3236972330 |
| Mailing Telephone | 3236972330 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | DR. KAMRON KENNETH HAKHAMIMI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3236972330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
191 S BUENA VISTA ST 335 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123474 | Kenneth Ballan | Internal Medicine | 191 S Buena Vista St, Ste. 215, Burbank, CA 91505-4554 | 2005-06-01 |
| 1114467255 | Ann Grosch | Audiologist-Hearing Aid Fitter | 191 S Buena Vista St, Suite 320-a, Burbank, CA 91505-4554 | 2017-03-07 |
| 1912443490 | Genesis Functional Restoration Clinic Inc | Family Medicine | 191 S Buena Vista St, 335, Burbank, CA 91505-4554 | 2017-01-09 |
| 1750763041 | Stetson Powell Orthopedics and Sports Medicine | Specialist | 191 S Buena Vista St, Suite 470, Burbank, CA 91505-4554 | 2015-06-23 |
| 1124407119 | Hesam Hekmatjou | Family Medicine | 191 S Buena Vista St, Suite 100, Burbank, CA 91505-4554 | 2015-05-22 |
| 1942690136 | Christopher S. Lee, Md, Mba, Inc. | Specialist | 191 S Buena Vista St, Suite 470, Burbank, CA 91505-4554 | 2015-01-27 |
| 1285036640 | Petros Hajian | Family Medicine | 191 S Buena Vista St, Suite 220, Burbank, CA 91505-4554 | 2014-09-17 |
| 1639579105 | Armine Ghazaryan Md Inc | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 300, Burbank, CA 91505-4554 | 2014-09-03 |
| 1326478777 | Leslie Korostoff Md A Professional Corporation | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 340, Burbank, CA 91505-4554 | 2013-11-22 |
| 1518300045 | Rungsima Vayupakparnonde | Pediatrics | 191 S Buena Vista St, Ste 240, Burbank, CA 91505-4554 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.