Healthcare Provider Details
I. General information
NPI: 1326080128
Provider Name (Legal Business Name): ARMAN HEKMATI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2006
Last Update Date: 09/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6360 WILSHIRE BLVD # 203
LOS ANGELES CA
90048-5603
US
IV. Provider business mailing address
6360 WILSHIRE BLVD # 203
LOS ANGELES CA
90048-5603
US
V. Phone/Fax
- Phone: 323-651-4320
- Fax: 323-651-5147
- Phone: 323-651-4320
- Fax: 323-651-5147
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | G63893 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: