Provider Demographics
NPI:1033271515
Name:HAKHAMIMI, HOUSHANG (MD)
Entity Type:Individual
Prefix:DR
First Name:HOUSHANG
Middle Name:
Last Name:HAKHAMIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4040 LAKE WASHINGTON BLVD NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7874
Mailing Address - Country:US
Mailing Address - Phone:425-284-7890
Mailing Address - Fax:425-284-7896
Practice Address - Street 1:50 N LA CIENEGA BLVD
Practice Address - Street 2:#310
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2227
Practice Address - Country:US
Practice Address - Phone:310-358-9404
Practice Address - Fax:310-358-9434
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2009-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA20777208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery