Houman M Kashani, Md A Professional Corporation | |
18355 Sherman Way Reseda CA 91335-4436 | |
(818) 343-0964 | |
Not Available |
Full Name | Houman M Kashani, Md A Professional Corporation |
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Speciality | Clinic/Center |
Location | 18355 Sherman Way, Reseda, California |
Authorized Official Name and Position | Houman M Kashani (PRESIDENT) |
Authorized Official Contact | 3107805826 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Houman M Kashani, Md A Professional Corporation 12115 San Vicente Blvd Suite 306 Los Angeles CA 90049-4942 Ph: (310) 780-5826 | Houman M Kashani, Md A Professional Corporation 18355 Sherman Way Reseda CA 91335-4436 Ph: (818) 343-0964 |
NPI Number | 1689815763 |
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Provider Enumeration Date | 03/18/2009 |
Last Update Date | 05/11/2009 |
Medicare PECOS PAC ID | 0547312449 |
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Medicare Enrollment ID | O20090723000054 |
Identifier | Type | State | Issuer |
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1689815763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | A84361 (California) | Primary |
Provider Name | Houman M Kashani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063468346 PECOS PAC ID: 7810963477 Enrollment ID: I20040903001025 |
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