Provider Demographics
NPI:1922139690
Name:HAKIMI, HOOMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOOMAN
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16542 BELLFLOWER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5417
Mailing Address - Country:US
Mailing Address - Phone:562-866-7073
Mailing Address - Fax:562-866-0943
Practice Address - Street 1:16542 BELLFLOWER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5417
Practice Address - Country:US
Practice Address - Phone:562-866-7073
Practice Address - Fax:562-866-0943
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice