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General NPI Number Information
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NPI Number | 1326416280
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Entity Type | Organization
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Legal Business Name | HOUMAN M KASHANI. MD A PROF CORP
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 437 E WASHINGTON BLVD SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90015-3720
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Country | US
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Telephone | 213-622-3100
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Fax | 866-867-2392
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Provider Business Mailing Address
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Address Line | PO BOX 49901
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City | LOS ANGELES
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State | CA
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Zip | 90049-0901
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Country | US
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Telephone | 213-622-3100
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Fax | 866-867-2392
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOUMAN M KASHANI
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Credential | MD
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Telephone | 213-622-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A84361
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License Number State | CA
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