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Organization
EBRAHIM HAKIMIAN, M.D. INC
Active
Organization
EBRAHIM HAKIMIAN, M.D. INC
Active
Other names
CEDARS HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM HAKIMIAN M.D. (MEDICAL DIRECTOR)
(818) 909-9868
Entity
Organization
Contact information
Practice address
14649 VICTORY BLVD, 22, VAN NUYS, CA 91411-4101
(818) 909-9868
(818) 909-9871
Mailing address
14649 VICTORY BLVD, 22, VAN NUYS, CA 91411-4101
(818) 909-9868
(818) 909-9871
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A48918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489180
—
CA
01
—
BL178
MEDICARE PROVIDER NUMBER
CA
Enumeration date
02/10/2009
Last updated
06/16/2009
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