Healthcare Provider Details

I. General information

NPI: 1689762205
Provider Name (Legal Business Name): DAVID ALAN CAHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 OCONNOR DR
SAN JOSE CA
95128-1624
US

IV. Provider business mailing address

295 OCONNOR DR
SAN JOSE CA
95128-1624
US

V. Phone/Fax

Practice location:
  • Phone: 408-279-0548
  • Fax: 408-279-8185
Mailing address:
  • Phone: 408-279-0548
  • Fax: 408-279-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG070021
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: