Provider Demographics
NPI:1770762718
Name:HAKIMI, JASMIN (DDS)
Entity type:Individual
Prefix:MS
First Name:JASMIN
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12119 INAVALE PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049
Mailing Address - Country:US
Mailing Address - Phone:310-826-5544
Mailing Address - Fax:310-569-5699
Practice Address - Street 1:12119 INAVALE PL
Practice Address - Street 2:
Practice Address - City:LA
Practice Address - State:CA
Practice Address - Zip Code:90049
Practice Address - Country:US
Practice Address - Phone:310-826-5544
Practice Address - Fax:310-569-5699
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice