MEDICARE: DR. DAN MOSHE KAHEN D.O.

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	20A 11814	CA

General Provider Information

NPI Number	:	1417226234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN MOSHE KAHEN D.O.

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	:	310-323-9999

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

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	02/22/2019

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