Provider Demographics
NPI:1639402225
Name:KAHEN KASHANI, ISAAC (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:KAHEN KASHANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16055 VENTURA BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2606
Mailing Address - Country:US
Mailing Address - Phone:818-751-5100
Mailing Address - Fax:
Practice Address - Street 1:16055 VENTURA BLVD STE 510
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2606
Practice Address - Country:US
Practice Address - Phone:818-751-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58692122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist