MEDICARE: JAMSHID A KASHANI INC

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	41629	CA

General Provider Information

NPI Number	:	1245350214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMSHID A KASHANI INC

Provider Business Mailing Address
First Line	:	1536 SWEETWATER RD STE E
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7657
Country	:	US
Telephone Number	:	619-477-4945
Fax Number	:	619-477-5205

Provider Business Practice Location Address
First Line	:	1536 SWEETWATER RD STE E
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7657
Country	:	US
Telephone Number	:	619-477-4945
Fax Number	:	619-477-5205

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAMSHID A KASHANI
Credential	:	D.D.S.
Telephone Number	:	619-477-4945

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	08/22/2020

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