Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C33917 | CA |
NPI | 1205024189 |
---|---|
Provider Name | Dr. David Lawrence Kahn |
First Address | San Francisco, CA 94109-5455 |
Second Address | San Francisco, CA 94109-5455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 04/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C33917 | CALIFORNIA MEDICAL BOARD (01) | CA |