Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | A38773 | CA |
Y | 2081P2900X | Pain Medicine | A38773 | CA |
NPI | 1689871865 |
---|---|
Provider Name | Dr. Kamran Hakimian |
First Address | Beverly Hills, CA 90211-2227 |
Second Address | Beverly Hills, CA 90211-2227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B50385 | (02) | CA |