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General NPI Number Information
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NPI Number | 1457570467
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Entity Type | Individual
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Provider Name | MICHAEL KAHAN PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 727 N VINE ST
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City | LOS ANGELES
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State | CA
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Zip | 90038-3713
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Country | US
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Telephone | 323-466-7158
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Fax | 323-461-2684
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Provider Business Mailing Address
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Address Line | 2122 MICHELTORENA ST
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City | LOS ANGELES
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State | CA
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Zip | 90039-3019
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Country | US
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Telephone | 323-663-0659
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Fax | 323-913-0564
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH35044
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License Number State | CA
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