Organization
WESTSIDE RADIATION ONCOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROOZ HAKIMIAN MD (OWNER/SECRETARY)
(310) 423-4207
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100340
—
CA
01
—
ZZZ09138Z
BLUE SHIELD PIN
CA
Enumeration date
05/08/2006
Last updated
04/20/2008
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