Provider Demographics
NPI:1811175136
Name:SOLEMON HAKIMI, M.D.,INC
Entity type:Organization
Organization Name:SOLEMON HAKIMI, M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLEMON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-449-0098
Mailing Address - Street 1:2915 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2438
Mailing Address - Country:US
Mailing Address - Phone:310-449-0098
Mailing Address - Fax:310-453-6229
Practice Address - Street 1:2915 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2438
Practice Address - Country:US
Practice Address - Phone:310-449-0098
Practice Address - Fax:310-453-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45921208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A459210Medicaid
CAWA45921AMedicare PIN