Individual ProviderSharon KaminkerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2825 Santa Monica Blvd, #104, Santa Monica, CA 90404(310) 829-9935(310) 828-7172PECOS EnrollmentBased on the most recent information from CMS, provider Sharon Kaminker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1477564938Provider TypeIndividualFull NameKaminker, SharonCredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/10/2006Last Updated2/7/2014Contact InformationPractice LocationPractice Address2825 Santa Monica Blvd, #104, Santa Monica, CA 90404Phone(310) 829-9935FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632Phone(310) 828-7172Fax(310) 394-7807Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA62098CaliforniaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseA62098CaliforniaProvider IdentifiersIDDescriptionIssuerID00A620980DescriptionMedicaidIssuerUnlistedCalifornia