Provider Demographics
NPI:1265477301
Name:KAMI WOMAN'S CARE
Entity Type:Organization
Organization Name:KAMI WOMAN'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMBIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGHIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-363-4111
Mailing Address - Street 1:17075 DEVONSHIRE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-5406
Mailing Address - Country:US
Mailing Address - Phone:818-363-4111
Mailing Address - Fax:818-831-3267
Practice Address - Street 1:17075 DEVONSHIRE ST STE 106
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-5406
Practice Address - Country:US
Practice Address - Phone:818-363-4111
Practice Address - Fax:818-831-3267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA068934207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty