Healthcare Provider Details
I. General information
NPI: 1063961241
Provider Name (Legal Business Name): KAHEN AND KAHEN ., M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2016
Last Update Date: 02/13/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9700 WOODMAN AVE SUITE A10
ARLETA CA
91331-6459
US
IV. Provider business mailing address
9700 WOODMAN AVE SUITE A10
ARLETA CA
91331-6459
US
V. Phone/Fax
- Phone: 818-746-2626
- Fax: 818-746-2326
- Phone: 818-746-2626
- Fax: 818-746-2326
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | A 97561 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | A 97561 |
| License Number State | CA |
VIII. Authorized Official
Name:
TANAZ
KAHEN
Title or Position: VICE PRESIDENT
Credential:
Phone: 818-746-2626