MEDICARE: DR. NANCY J. KUHN M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G38156	CA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050471CA47377	OTHER	CA	GOOD SAM TRAILBLAZER
2	050126CA47377	OTHER	CA	VALLEY PRES TRAILBLAZER
3	00G381560	OTHER	CA	CALOPTIMA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	00G381560	OTHER	CA	BLUE SHIELD
6	G38156	OTHER	CA	BLUE CROSS

NPI Number	:	1457305344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY J. KUHN M.D.

Provider Business Mailing Address
First Line	:	2550 NORTH HOLLYWOOD WAY
Second Line	:	SUITE 209
City	:	BURBANK
State	:	CA
Zip	:	91505-5019
Country	:	US
Telephone Number	:	818-557-0135
Fax Number	:	818-557-1394

Provider Business Practice Location Address
First Line	:	1225 WILSHIRE BOULEVARD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2395
Country	:	US
Telephone Number	:	213-977-2423
Fax Number	:	213-202-2048

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/09/2007

1225 WILSHIRE BLVD
LOS ANGELES, CA
90017-2395

Practice Phone: 213-977-2423
Practice Fax:

1225 WILSHIRE BOULEVARD
LOS ANGELES, CA
90017-2395