Provider Demographics
NPI:1588820914
Name:HEKMAT & HEKMAT MDS, INC
Entity Type:Organization
Organization Name:HEKMAT & HEKMAT MDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-712-0004
Mailing Address - Street 1:9763 W PICO BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4748
Mailing Address - Country:US
Mailing Address - Phone:310-712-0000
Mailing Address - Fax:310-712-0012
Practice Address - Street 1:9763 W PICO BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-4748
Practice Address - Country:US
Practice Address - Phone:310-712-0000
Practice Address - Fax:310-712-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW8262Medicare PIN