Provider Demographics
NPI:1043547813
Name:KAMZAN, MORTON AARON (MD)
Entity type:Individual
Prefix:DR
First Name:MORTON
Middle Name:AARON
Last Name:KAMZAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5970 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90001-1150
Mailing Address - Country:US
Mailing Address - Phone:877-358-5841
Mailing Address - Fax:323-248-7044
Practice Address - Street 1:5970 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-1150
Practice Address - Country:US
Practice Address - Phone:877-358-5841
Practice Address - Fax:323-248-7044
Is Sole Proprietor?:No
Enumeration Date:2009-11-15
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine