Individual
SAM ALI KASHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 16TH ST STE 3400, SANTA MONICA, CA 90404
(310) 449-0939
(424) 259-7790
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
A151737
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A151737
CA
208D00000X
General Practice Physician
A151737
CA
282N00000X
General Acute Care Hospital
A151737
CA
Other
Enumeration date
05/19/2015
Last updated
09/26/2019
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