| Hakhamian Dds Inc | |
|
2002 S Hoover St Los Angeles CA 90007-1323 | |
| (310) 858-7373 | |
| (213) 663-1991 |
| Full Name | Hakhamian Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2002 S Hoover St, Los Angeles, California |
| Authorized Official Name and Position | Arash Hakhamian (OWNER/PRESIDENT) |
| Authorized Official Contact | 3108587373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hakhamian Dds Inc 2002 S Hoover St Los Angeles CA 90007-1323 Ph: (310) 858-7373 | Hakhamian Dds Inc 2002 S Hoover St Los Angeles CA 90007-1323 Ph: (310) 858-7373 |
| NPI Number | 1396132833 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 09/30/2015 |
| Medicare PECOS PAC ID | 4880927946 |
|---|---|
| Medicare Enrollment ID | O20190605002025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396132833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59701 (California) | Primary |
| Provider Name | Arash Hakhamian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700108610 PECOS PAC ID: 3870881485 Enrollment ID: I20190605002072 |
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