Provider Demographics
NPI:1952649469
Name:DAVID B KAMINSKY MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:DAVID B KAMINSKY MD A MEDICAL CORPORATION
Other - Org Name:PALM SPRINGS PATHOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAMINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-327-6777
Mailing Address - Street 1:PO BOX 6015
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-0015
Mailing Address - Country:US
Mailing Address - Phone:760-327-6777
Mailing Address - Fax:760-327-6477
Practice Address - Street 1:35-800 BOB HOPE DR
Practice Address - Street 2:SUITE 215
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1739
Practice Address - Country:US
Practice Address - Phone:760-327-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF 00341563291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory