Healthcare Provider Details

I. General information

NPI: 1841556370
Provider Name (Legal Business Name): HEKMAT ORTHOPAEDICS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9763 W PICO BLVD SUITE 200
LOS ANGELES CA
90035-4748
US

IV. Provider business mailing address

9763 W PICO BLVD SUITE 200
LOS ANGELES CA
90035-4748
US

V. Phone/Fax

Practice location:
  • Phone: 310-712-0000
  • Fax: 310-712-0012
Mailing address:
  • Phone: 310-712-0000
  • Fax: 310-712-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY SARMAST
Title or Position: BUSINESS MANAGER
Credential:
Phone: 310-712-0001