Provider Demographics
NPI:1518109750
Name:HAKIMI, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10787 WILSHIRE BLVD APT 1203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-7341
Mailing Address - Country:US
Mailing Address - Phone:310-428-7370
Mailing Address - Fax:
Practice Address - Street 1:462 N LINDEN DR STE 333
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2449
Practice Address - Country:US
Practice Address - Phone:424-239-5201
Practice Address - Fax:424-239-5204
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113583208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery