| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7416388525 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417226234 PECOS PAC ID: 0446407175 Enrollment ID: I20120830000572 |
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