Healthcare Provider Details

I. General information

NPI: 1346455847
Provider Name (Legal Business Name): ROBERT M. KAHN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 ALMA REAL DR STE 103
PACIFIC PALISADES CA
90272-3740
US

IV. Provider business mailing address

881 ALMA REAL DR STE 103
PACIFIC PALISADES CA
90272-3740
US

V. Phone/Fax

Practice location:
  • Phone: 310-459-4333
  • Fax: 310-454-4707
Mailing address:
  • Phone: 310-459-4333
  • Fax: 310-454-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberA18582
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT M KAHN
Title or Position: PHYSICIAN
Credential: MD
Phone: 310-459-4333