=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699933556
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PEDRAM KAHEN, DPM INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2008
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 426 W MANCHESTER BLVD
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90301-1110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-535-3668
-----------------------------------------------------
Fax | 888-269-5439
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 426 W MANCHESTER BLVD
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90301-1110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-535-3668
-----------------------------------------------------
Fax | 888-269-5439
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. PEDRAM KAHEN
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 888-535-3668
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | E4774
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------