Dan M Kahen, Do Apc | |
5504 Whittier Blvd Commerce CA 90022-4104 | |
(323) 725-0167 | |
(323) 725-6933 |
Full Name | Dan M Kahen, Do Apc |
---|---|
Speciality | Family Medicine |
Location | 5504 Whittier Blvd, Commerce, California |
Authorized Official Name and Position | Dan M Kahen (PRESIDENT) |
Authorized Official Contact | 3237250167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dan M Kahen, Do Apc 5504 Whittier Blvd Commerce CA 90022-4104 Ph: (323) 725-0167 | Dan M Kahen, Do Apc 5504 Whittier Blvd Commerce CA 90022-4104 Ph: (323) 725-0167 |
NPI Number | 1356850572 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 7416388525 |
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Medicare Enrollment ID | O20200505001853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356850572 | NPI | - | NPPES |
20A11814 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A11814 (California) | Primary |
Provider Name | Dan Moshe Kahen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417226234 PECOS PAC ID: 0446407175 Enrollment ID: I20120830000572 |
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