Provider Demographics
NPI:1972394831
Name:KAGAN PSYCHIATRY
Entity type:Organization
Organization Name:KAGAN PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-800-1680
Mailing Address - Street 1:9615 BRIGHTON WAY STE 416
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5120
Mailing Address - Country:US
Mailing Address - Phone:310-800-1680
Mailing Address - Fax:747-200-6488
Practice Address - Street 1:9615 BRIGHTON WAY STE 416
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5120
Practice Address - Country:US
Practice Address - Phone:310-800-1680
Practice Address - Fax:747-200-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty