Healthcare Provider Details

I. General information

NPI: 1114173432
Provider Name (Legal Business Name): CLAUDE R CAHEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 E LIVE OAK AVE STE 105
ARCADIA CA
91006-5249
US

IV. Provider business mailing address

159 E LIVE OAK AVE STE 105
ARCADIA CA
91006-5249
US

V. Phone/Fax

Practice location:
  • Phone: 626-446-1525
  • Fax: 626-446-2556
Mailing address:
  • Phone: 626-446-1525
  • Fax: 626-446-2556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA43907
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG63334
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA23286
License Number StateCA

VIII. Authorized Official

Name: CLAUDE R CAHEN
Title or Position: CEO
Credential: MD
Phone: 626-446-1525