MEDICARE: JIM KASHA

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E3534	CA

General Provider Information

NPI Number	:	1235576968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIM KASHA

Provider Business Mailing Address
First Line	:	3016 WAVERLY DR
Second Line	:	SUITE 308
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2052
Country	:	US
Telephone Number	:	323-667-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	3016 WAVERLY DR
Second Line	:	SUITE 308
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2052
Country	:	US
Telephone Number	:	323-667-0061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	06/04/2013

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Directions to “ JIM KASHA ” Practice Location

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