MEDICARE: ZOE KAHN LCSW

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	1041C0700X	Clinical Social Worker	70847	CA

General Provider Information

NPI Number	:	1356674311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE KAHN LCSW

Provider Business Mailing Address
First Line	:	3251 HOLLYDALE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2309
Country	:	US
Telephone Number	:	323-813-1938
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 HOLLYWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5408
Country	:	US
Telephone Number	:	323-813-1938
Fax Number	:

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

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	01/13/2022

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