MEDICARE: BARRY KASHFIAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30403	CA
2	1223P0700X	Prosthodontics	30403	CA

General Provider Information

NPI Number	:	1043304124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRY KASHFIAN DMD

Provider Business Mailing Address
First Line	:	2080 CENTURY PARK E
Second Line	:	STE 1406
City	:	CENTURY CITY
State	:	CA
Zip	:	90067
Country	:	US
Telephone Number	:	310-553-1578
Fax Number	:	310-553-4844

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E
Second Line	:	STE 1406
City	:	CENTURY CITY
State	:	CA
Zip	:	90067
Country	:	US
Telephone Number	:	310-553-1578
Fax Number	:	310-553-4844

Authorized Official
Title or Position	:	DENTIST PROSTHODONTIST
Name	:	DR. BARRY KASHFIAN
Credential	:	DMD
Telephone Number	:	310-553-1578

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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