Healthcare Provider Details

I. General information

NPI: 1942241724
Provider Name (Legal Business Name): JOSEPH HAKIMI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15725 HAWTHORNE BLVD 106
LAWNDALE CA
90260-2651
US

IV. Provider business mailing address

3540 WILSHIRE BLVD 500
LOS ANGELES CA
90010-2307
US

V. Phone/Fax

Practice location:
  • Phone: 310-980-5444
  • Fax: 888-371-9129
Mailing address:
  • Phone: 310-980-5444
  • Fax: 888-371-9129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC22912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: