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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