Individual
DR. SALAR HAKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1417 W BEVERLY BLVD STE 106, MONTEBELLO, CA 90640-4125
(310) 242-0919
Mailing address
1417 W BEVERLY BLVD STE 106, MONTEBELLO, CA 90640-4125
(626) 657-8002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A13968
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
20A13968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386960854
MEDICARE
CA
05
—
1386960854
—
CA
Enumeration date
04/08/2010
Last updated
01/17/2025
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