Provider Demographics
NPI:1508619420
Name:HEMMAT HEALTH, PC
Entity Type:Organization
Organization Name:HEMMAT HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-265-0011
Mailing Address - Street 1:317 S BROADWAY APT A
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3759
Mailing Address - Country:US
Mailing Address - Phone:310-701-6622
Mailing Address - Fax:
Practice Address - Street 1:655 DEEP VALLEY DR STE 325-A
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3615
Practice Address - Country:US
Practice Address - Phone:310-265-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty