Provider Demographics
NPI:1073655841
Name:HEKMAT, FARAH OLGA LAALY (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAH OLGA
Middle Name:LAALY
Last Name:HEKMAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 WILSHIRE BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-6134
Mailing Address - Country:US
Mailing Address - Phone:310-276-0541
Mailing Address - Fax:
Practice Address - Street 1:9301 WILSHIRE BLVD STE 402
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6134
Practice Address - Country:US
Practice Address - Phone:310-276-0541
Practice Address - Fax:310-276-9244
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A380220174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist