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Individual

CLIFFORD ROBERT KAHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-5109
(818) 986-3366
(818) 986-3866
Mailing address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-5109
(818) 986-3366
(818) 986-3866

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G34659
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
G34659
CA
332B00000X
Durable Medical Equipment & Medical Supplies
6268120001
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G346590
CA
Enumeration date
11/07/2005
Last updated
06/02/2010
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