Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A32441 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A32441 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A32441 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | A32441 | CA |
NPI | 1518098730 |
---|---|
Provider Name | Dr. Jamshid J Hekmat |
First Address | Los Angeles, CA 90035-4748 |
Second Address | Los Angeles, CA 90035-4748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 16/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A26803 | (02) | CA |
GR0021340 | (05) | CA |