Individual
SIMON HAKIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2823 FRESNO ST, 6TH FLOOR, FRESNO, CA 93721-1324
(559) 459-3395
(559) 443-2681
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17460
CA
363AM0700X
Medical Physician Assistant
Primary
PA17460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA17460
—
CA
Enumeration date
11/11/2006
Last updated
06/11/2014
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