Provider Demographics
NPI:1649792714
Name:MICHAEL HAKIMI, M.D., INC.
Entity type:Organization
Organization Name:MICHAEL HAKIMI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-796-3700
Mailing Address - Street 1:10787 WILSHIRE BLVD APT 1203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-7341
Mailing Address - Country:US
Mailing Address - Phone:310-428-7370
Mailing Address - Fax:424-239-5204
Practice Address - Street 1:462 N LINDEN DR STE 333
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2449
Practice Address - Country:US
Practice Address - Phone:424-239-5201
Practice Address - Fax:424-239-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113583208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty