Provider Demographics
NPI:1285876813
Name:ARTIN, KAMAL H (MD)
Entity type:Individual
Prefix:DR
First Name:KAMAL
Middle Name:H
Last Name:ARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:62 DISCOVERY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3142
Mailing Address - Country:US
Mailing Address - Phone:949-451-1789
Mailing Address - Fax:949-451-1431
Practice Address - Street 1:62 DISCOVERY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3142
Practice Address - Country:US
Practice Address - Phone:949-451-1789
Practice Address - Fax:949-451-1431
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA722312084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013083724OtherNPI
CAH80651Medicare UPIN