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1326416280 NPI number — HOUMAN M KASHANI. MD A PROF CORP

NPI Number: 1326416280
Health Care Provider/Practitioner: HOUMAN M KASHANI. MD A PROF CORP

Information about “1326416280” NPI (HOUMAN M KASHANI. MD A PROF CORP) exists in 1326416280 in HTML format HTML  |  1326416280 in plain Text format TXT  |  1326416280 in PDF (Portable Document Format) PDF  |  1326416280 in an XML format XML  formats.

NPI Number : 1326416280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326416280",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOUMAN M KASHANI. MD A PROF CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 49901",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90049-0901",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-622-3100",
    "MailingAddressFaxNumber": "866-867-2392",
    "FirstLinePracticeLocationAddress": "437 E WASHINGTON BLVD",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90015-3720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-622-3100",
    "PracticeLocationAddressFaxNumber": "866-867-2392",
    "EnumerationDate": "09/09/2015",
    "LastUpdateDate": "09/09/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KASHANI",
    "AuthorizedOfficialFirstName": "HOUMAN",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "213-622-3100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": "A84361",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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