Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 106994 | CA |
Y | 213EG0000X | General Practice | 106994 | CA |
NPI | 1003495789 |
---|---|
Provider Name | Leila Hakim |
First Address | Beverly Hills, CA 90210-1824 |
Second Address | Bell, CA 90201-1228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 22/09/2021 |