EBRAHIM HAKIMIAN M.D. INC NPI 1699914937

NPI Information

NPI: 1699914937
Provider Name: EBRAHIM HAKIMIAN, M.D. INC

Other Name: CEDARS HEALTH CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

Address:
14649 VICTORY BLVD
22
VAN NUYS, CA
ZIP 91411
Phone: (818) 909-9868
Get Directions

EBRAHIM HAKIMIAN, M.D. INC is a general practice in Van Nuys, CA. EBRAHIM HAKIMIAN, M.D. INC NPI is 1699914937. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cedars Health Clinic.

The provider's business location address is:

14649 VICTORY BLVD
22
VAN NUYS, CA
ZIP 91411-101
Phone: (818) 909-9868
Fax: (818) 909-9871

The provider's authorized official is Ebrahim Hakimian .
The authorized official title is Medical Director and has the following contact phone number (818) 909-9868.

The CLIA number assigned to this NPI record is 05D0911896 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2009 and was last updated on 6/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A48918	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A489180	MEDICAID	CALIFORNIA
2	BL178	OTHER	CALIFORNIA	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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