Healthcare Provider Details

I. General information

NPI: 1851739650
Provider Name (Legal Business Name): DEHNAD HAKIMI PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 07/21/2022
Certification Date: 02/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 W OLYMPIC BLVD STE 385
LOS ANGELES CA
90064-1639
US

IV. Provider business mailing address

11340 W OLYMPIC BLVD STE 385
LOS ANGELES CA
90064-1639
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-2072
  • Fax:
Mailing address:
  • Phone: 424-226-8285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number29116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: