Individual
DR. BAHRAM KASHANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6670 RESEDA BLVD, SUITE 203, RESEDA, CA 91335-5327
(818) 881-3822
(818) 881-3423
Mailing address
20576 CALIFA ST, WOODLAND HILLS, CA 91367-5310
(818) 881-3822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BK34131-01
MEDICAL PROVIDER
CA
Enumeration date
12/22/2006
Last updated
07/08/2007
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