Provider Demographics
NPI:1407353675
Name:ART VASCULAR & INTERVENTIONAL ASSOCIATES INC
Entity type:Organization
Organization Name:ART VASCULAR & INTERVENTIONAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-242-0919
Mailing Address - Street 1:324 S BEVERLY DR STE 345
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4801
Mailing Address - Country:US
Mailing Address - Phone:914-979-6158
Mailing Address - Fax:323-433-9177
Practice Address - Street 1:1417 W BEVERLY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4125
Practice Address - Country:US
Practice Address - Phone:626-657-8002
Practice Address - Fax:323-433-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty