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PRAVEEN REDDY KAMBAM M.D.
NPI 1912034141
Psychiatry & Neurology - Forensic Psychiatry in Los Angeles, CA

Active since February 27, 2007
11500 W OLYMPIC BLVD, 538, LOS ANGELES, CA 90064(310) 231-8964(310) 627-1657 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Feb 18, 2019, Jan 22, 2019 and 4 more (7 updates tracked since 2017).

About Praveen Reddy Kambam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAVEEN REDDY KAMBAM M.D. (NPI 1912034141) is an individual forensic psychiatry provider in Los Angeles, California, licensed in California (A100457) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1912034141
Entity TypeIndividualMale
Primary Taxonomy2084F0202X
Provider Legal NamePRAVEEN REDDY KAMBAMCredential: M.D.
Location Address11500 W OLYMPIC BLVD, 538Los Angeles, CA 90064
Mailing Address644 N Fuller Ave Pmb 7190Los Angeles, CA 90036-1939 · (310) 231-8964 · Fax (310) 627-1657
Phone(310) 231-8964
Fax(310) 627-1657
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateNovember 23, 20207 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1912034141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License✔ Licensed in CA · A100457
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License A100457 (CA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A100457 (CA)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License A100457 (CA)
11500 W OLYMPIC BLVD, Los Angeles, CA 90064
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KARA LYNN HART PSY,D.
Psychologist
11500 W OLYMPIC BLVD, SUITE 500
LOS ANGELES, CA 90064
Los Angeles County (310) 871-7825
MARC LAWRENCE LEVITT PH.D.
Psychologist (Clinical)
11500 W OLYMPIC BLVD, 500
LOS ANGELES, CA 90064
Los Angeles County (310) 477-9492
BRITTANY ANNIS DPT
Physical Therapist
11500 W OLYMPIC BLVD, SUITE # 636
LOS ANGELES, CA 90064
Los Angeles County (310) 996-0085
DR. ANDREW MICHAEL CHEUNG DPT
Physical Therapist
11500 W OLYMPIC BLVD, SUITE 636
LOS ANGELES, CA 90064
Los Angeles County (310) 996-0085
SANDEEP SRAN BCBA
Behavior Analyst
11500 W OLYMPIC BLVD, SUITE 400
LOS ANGELES, CA 90064
Los Angeles County (877) 262-9133
MARK MCDONALD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11500 W OLYMPIC BLVD, SUITE 426
LOS ANGELES, CA 90064
Los Angeles County (310) 954-9565
JENNIFER BYRD BCABA
Behavior Analyst
11500 W OLYMPIC BLVD, SUITE 400
LOS ANGELES, CA 90064
Los Angeles County (877) 863-6280
MS. SHAYNA REID
Physical Therapist (Orthopedic)
11500 W OLYMPIC BLVD, SUITE 440
LOS ANGELES, CA 90064
Los Angeles County (424) 293-2305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praveen Kambam's NPI number?

The NPI number for Praveen Kambam is 1912034141. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Praveen Kambam located?

Praveen Kambam practices at 11500 W Olympic Blvd 538, Los Angeles, CA 90064. The listed phone number is (310) 231-8964.

What is Praveen Kambam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

When was this NPI record last updated?

The NPPES record for Praveen Kambam was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.