| Organization Name: | EBRAHIM HAKIMIAN, M.D. INC |
| NPI Number: | 1699914937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EBRAHIM HAKIMIAN (MEDICAL DIRECTOR) |
| Mailing Address: | 14649 Victory Blvd 22 Van Nuys |
| State: | CA US |
| Postal Code: | 914114101 |
| Phone Number: | 8189099868 |
| Fax Number: | 8189099871 |
| NPI Enumeration Date: | 02/10/2009 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A48918 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |