Provider Demographics
NPI:1346623378
Name:MEHDI HAKIMIPOUR MD, INC.
Entity Type:Organization
Organization Name:MEHDI HAKIMIPOUR MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIMIPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-274-6444
Mailing Address - Street 1:PO BOX 25042
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-5042
Mailing Address - Country:US
Mailing Address - Phone:559-438-1245
Mailing Address - Fax:559-892-4550
Practice Address - Street 1:315 E NEES AVE
Practice Address - Street 2:#124
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2062
Practice Address - Country:US
Practice Address - Phone:559-274-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility