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General NPI Number Information
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NPI Number | 1619958626
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Entity Type | Individual
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Provider Name | CLIFFORD ROBERT KAHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 17525 VENTURA BLVD SUITE 203
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City | ENCINO
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State | CA
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Zip | 91316-5109
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Country | US
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Telephone | 818-986-3366
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Fax | 818-986-3866
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Provider Business Mailing Address
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Address Line | 17525 VENTURA BLVD SUITE 203
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City | ENCINO
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State | CA
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Zip | 91316-5109
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Country | US
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Telephone | 818-986-3366
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Fax | 818-986-3866
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G34659
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | G34659
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6268120001
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License Number State | CA
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