MEDICARE: DAN M KAHEN, DO APC

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	207Q00000X	Family Medicine Physician	20A11814	CA

General Provider Information

NPI Number	:	1346750171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN M KAHEN, DO APC

Provider Business Mailing Address
First Line	:	5504 WHITTIER BLVD
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90022-4104
Country	:	US
Telephone Number	:	323-725-0167
Fax Number	:	323-725-6933

Provider Business Practice Location Address
First Line	:	1146 W REDONDO BEACH BLVD
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-3538
Country	:	US
Telephone Number	:	310-323-9999
Fax Number	:	310-323-0216

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAN M KAHEN
Credential	:	DO
Telephone Number	:	310-323-9999

Provider Enumeration Date	:	10/06/2017
Last Update Date	:	10/06/2017

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