Healthcare Provider Details

I. General information

NPI: 1043438575
Provider Name (Legal Business Name): KAMYAR HEKMAT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 WILSHIRE BLVD STE 1204
LOS ANGELES CA
90024-4005
US

IV. Provider business mailing address

10921 WILSHIRE BLVD STE 1204
LOS ANGELES CA
90024-4005
US

V. Phone/Fax

Practice location:
  • Phone: 310-208-0878
  • Fax:
Mailing address:
  • Phone: 310-208-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number34343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: