Provider Demographics
NPI:1902611759
Name:KAWATKAR, AMI (PHARMD)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:
Last Name:KAWATKAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12853 BERKHAMSTED ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7233
Mailing Address - Country:US
Mailing Address - Phone:562-331-4928
Mailing Address - Fax:
Practice Address - Street 1:5451 LA PALMA AVE STE 17
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1729
Practice Address - Country:US
Practice Address - Phone:714-522-7791
Practice Address - Fax:714-522-0779
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA698781835E0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835E0208XPharmacy Service ProvidersPharmacistEmergency Medicine