Healthcare Provider Details

I. General information

NPI: 1356850572
Provider Name (Legal Business Name): DAN M KAHEN, DO APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3127 W BEVERLY BLVD UNIT A
MONTEBELLO CA
90640-2216
US

IV. Provider business mailing address

3127 W BEVERLY BLVD UNIT A
MONTEBELLO CA
90640-2216
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-0167
  • Fax: 323-725-6933
Mailing address:
  • Phone: 323-725-0167
  • Fax: 323-725-6933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A11814
License Number StateCA

VIII. Authorized Official

Name: DAN M KAHEN
Title or Position: PRESIDENT
Credential: DO
Phone: 323-725-0167