Healthcare Provider Details

I. General information

NPI: 1346623378
Provider Name (Legal Business Name): MEHDI HAKIMIPOUR M D, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

IV. Provider business mailing address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1233
  • Fax: 559-499-1232
Mailing address:
  • Phone: 559-499-1233
  • Fax: 559-499-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. MEHDI HAKIMIPOUR
Title or Position: OWNER
Credential: MD
Phone: 559-274-6444