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GENESIS FUNCTIONAL RESTORATION CLINIC INC
NPI 1912443490
Family Medicine - Addiction Medicine in Burbank, CA

Active since January 09, 2017
191 S BUENA VISTA ST, 335, BURBANK, CA 91505(323) 697-2330 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Functional Restoration Clinic Inc NPPES

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

GENESIS FUNCTIONAL RESTORATION CLINIC INC (NPI 1912443490) is a healthcare organization registered as an addiction medicine in Burbank, California and active in the NPI registry since January 2017. The organization lists Kamron Kenneth Hakhamimi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912443490
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGENESIS FUNCTIONAL RESTORATION CLINIC INC
Location Address191 S BUENA VISTA ST, 335Burbank, CA 91505-4554
Mailing Address191 S Buena Vista St, 335Burbank, CA 91505-4554
Phone(323) 697-2330
Organization SubpartNo
Authorized OfficialKamron Kenneth HakhamimiMedical Director · (323) 697-2330
Enumeration DateJanuary 9, 2017
✔ NPI 1912443490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

191 S BUENA VISTA ST, Burbank, CA 91505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

TRI DUY DAO M.D.
Family Medicine
191 S BUENA VISTA ST, SUITE 100
BURBANK, CA 91505
Los Angeles County (855) 723-3005
DR. DAVID AHDOOT MD
Obstetrics & Gynecology
191 S BUENA VISTA ST, SUITE 340
BURBANK, CA 91505
Los Angeles County (818) 559-7500
WILLIAM B STETSON M D A PROFESSIONAL CORPORATION
Orthopaedic Surgery
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Los Angeles County (808) 848-3030
DR. CHRISTOPHER SY LEE M.D., M.B.A
Orthopaedic Surgery (Sports Medicine)
191 S BUENA VISTA ST, SUITE 470
BURBANK, CA 91505
Los Angeles County (818) 848-3030
DR LIN LEMAY A PROFESSIONAL CORPORATION
Psychiatry & Neurology (Neurology)
191 S BUENA VISTA ST, STE 370
BURBANK, CA 91505
Los Angeles County (818) 558-7888
IRVIN S. BENOWITZ D.O.
Family Medicine (Geriatric Medicine)
191 S BUENA VISTA ST, STE. 420
BURBANK, CA 91505
Los Angeles County (818) 557-7399
BRENDA ACEVES
Nurse Practitioner (Family)
191 S BUENA VISTA ST
BURBANK, CA 91505
Los Angeles County (818) 557-2671
ANN GROSCH HA 8179
Audiologist-Hearing Aid Fitter
191 S BUENA VISTA ST, SUITE 320-A
BURBANK, CA 91505
Los Angeles County (818) 559-9580

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 Genesis Functional Restoration Clinic Inc's NPI number?

The NPI number for Genesis Functional Restoration Clinic Inc is 1912443490. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Genesis Functional Restoration Clinic Inc located?

Genesis Functional Restoration Clinic Inc is located at 191 S Buena Vista St 335, Burbank, CA 91505. The listed phone number is (323) 697-2330.

What is Genesis Functional Restoration Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Genesis Functional Restoration Clinic Inc was last updated on January 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.