Healthcare Provider Details

I. General information

NPI: 1952232258
Provider Name (Legal Business Name): CAHUENGA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 LANKERSHIM BLVD STE 101
NORTH HOLLYWOOD CA
91606-2476
US

IV. Provider business mailing address

6500 LANKERSHIM BLVD STE 101
NORTH HOLLYWOOD CA
91606-2476
US

V. Phone/Fax

Practice location:
  • Phone: 818-824-3030
  • Fax: 818-824-3030
Mailing address:
  • Phone: 818-824-3030
  • Fax: 818-824-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WESLEY KEE NAHM
Title or Position: CEO
Credential: MD
Phone: 818-824-3030