Provider Demographics
NPI:1922298074
Name:HAKIMI, SEAN SOHAIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:SOHAIL
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 1:2644 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3510
Mailing Address - Country:US
Mailing Address - Phone:818-248-9988
Mailing Address - Fax:
Practice Address - Street 1:3821 ATLANTIC AVE STE D
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3533
Practice Address - Country:US
Practice Address - Phone:562-426-0778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA396431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice