Provider Demographics
NPI:1700359593
Name:LESSANI, KASH
Entity Type:Individual
Prefix:
First Name:KASH
Middle Name:
Last Name:LESSANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KHASHAYAR
Other - Middle Name:
Other - Last Name:LESSANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HAD
Mailing Address - Street 1:16011 SANTA BARBARA LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 W 17TH ST STE E2
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3340
Practice Address - Country:US
Practice Address - Phone:657-900-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8334237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty