Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A24830 | CA |
NPI | 1063583979 |
---|---|
Provider Name | Leslie D. Cahan |
First Address | Los Angeles, CA 90036 |
Second Address | Thousand Oaks, CA 91360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 19/10/2015 |