Provider Demographics
NPI:1134494305
Name:KASHANI, BANAFSHEH NOOSHA (MD)
Entity Type:Individual
Prefix:DR
First Name:BANAFSHEH
Middle Name:NOOSHA
Last Name:KASHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4014 LONG BEACH BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-5409
Mailing Address - Country:US
Mailing Address - Phone:562-997-7100
Mailing Address - Fax:
Practice Address - Street 1:23141 MOULTON PKWY STE 205
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1204
Practice Address - Country:US
Practice Address - Phone:949-516-0150
Practice Address - Fax:949-516-0140
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120548207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology