Provider Demographics
NPI:1740590587
Name:MAFA R KAMAL M D INC
Entity type:Organization
Organization Name:MAFA R KAMAL M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MAFA
Authorized Official - Middle Name:RIBHI
Authorized Official - Last Name:KAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-481-0022
Mailing Address - Street 1:PO BOX 942
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-0942
Mailing Address - Country:US
Mailing Address - Phone:213-481-0022
Mailing Address - Fax:213-481-2338
Practice Address - Street 1:120 E LONGDEN AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5242
Practice Address - Country:US
Practice Address - Phone:213-481-0022
Practice Address - Fax:213-357-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty