Provider Demographics
NPI:1073832127
Name:HAKIM, CLEMENT J (PT)
Entity Type:Individual
Prefix:MR
First Name:CLEMENT
Middle Name:J
Last Name:HAKIM
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:101 S 1ST STREET
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1959
Mailing Address - Country:US
Mailing Address - Phone:818-558-7252
Mailing Address - Fax:818-558-7312
Practice Address - Street 1:101 S 1ST STREET
Practice Address - Street 2:SUITE 1800
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1959
Practice Address - Country:US
Practice Address - Phone:818-558-7252
Practice Address - Fax:818-558-7312
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA35715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist