Provider Demographics
NPI:1194427401
Name:PAYAM JOHN KAHEN MD INC
Entity type:Organization
Organization Name:PAYAM JOHN KAHEN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALBANDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-636-4310
Mailing Address - Street 1:50 N LA CIENEGA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 N LA CIENEGA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2246
Practice Address - Country:US
Practice Address - Phone:310-289-0901
Practice Address - Fax:310-388-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty