Healthcare Provider Details

I. General information

NPI: 1487728960
Provider Name (Legal Business Name): KAMELIA KASHANI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3229 SANTA ANITA AVE
EL MONTE CA
91733-1359
US

IV. Provider business mailing address

6609 VAN NUYS BLVD # 201
VAN NUYS CA
91405-4618
US

V. Phone/Fax

Practice location:
  • Phone: 626-575-4584
  • Fax:
Mailing address:
  • Phone: 818-812-5410
  • Fax: 818-812-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A9505
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A9505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: