Individual
BEHROOZ HAKIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, RM AC-1020, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4207
(310) 659-3332
Mailing address
FILE 51000, LOS ANGELES, CA 90074-0001
(310) 423-4207
(310) 659-3332
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G75476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G754760
BLUE SHIELD PIN
CA
05
—
00G754760
—
CA
Enumeration date
05/10/2006
Last updated
10/25/2007
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