Provider Demographics
NPI:1265709570
Name:SIKON, HOMA SAJADIAN (LAC, DIPL OM)
Entity type:Individual
Prefix:MS
First Name:HOMA
Middle Name:SAJADIAN
Last Name:SIKON
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:116 S. CATALINA AVENUE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277
Mailing Address - Country:US
Mailing Address - Phone:310-372-5555
Mailing Address - Fax:310-923-7689
Practice Address - Street 1:116 S. CATALINA AVENUE
Practice Address - Street 2:SUITE 113
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277
Practice Address - Country:US
Practice Address - Phone:310-372-5555
Practice Address - Fax:310-923-7689
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA12590171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist