Healthcare Provider Details

I. General information

NPI: 1760675110
Provider Name (Legal Business Name): ALEXIS DANIEL HAKIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALEX DANIEL HAKIM MD

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10573 W PICO BLVD # 207
LOS ANGELES CA
90064-2333
US

IV. Provider business mailing address

10573 W PICO BLVD # 207
LOS ANGELES CA
90064-2333
US

V. Phone/Fax

Practice location:
  • Phone: 213-267-5337
  • Fax: 424-330-2377
Mailing address:
  • Phone: 213-267-5337
  • Fax: 424-330-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA104405
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA104405
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA104405
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA104405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: