Provider Demographics
NPI:1295213841
Name:G. KAMEN MEDICAL SERVICES AND URGENT CARE ON DEMAND PC
Entity Type:Organization
Organization Name:G. KAMEN MEDICAL SERVICES AND URGENT CARE ON DEMAND PC
Other - Org Name:GEOFFREY KAMEN MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KAMEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-888-1073
Mailing Address - Street 1:PO BOX 16858
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28816-0858
Mailing Address - Country:US
Mailing Address - Phone:828-551-9331
Mailing Address - Fax:800-515-1908
Practice Address - Street 1:1787 OCEANAIRE CT
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405
Practice Address - Country:US
Practice Address - Phone:805-888-1073
Practice Address - Fax:877-253-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-04
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty