Healthcare Provider Details

I. General information

NPI: 1609851187
Provider Name (Legal Business Name): VAHID HEKMAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 SHERMAN PL SUITE 407
WEST HILLS CA
91307-2003
US

IV. Provider business mailing address

23101 SHERMAN PL SUITE 407
WEST HILLS CA
91307-2003
US

V. Phone/Fax

Practice location:
  • Phone: 818-999-3800
  • Fax: 818-999-3808
Mailing address:
  • Phone: 818-999-3800
  • Fax: 818-999-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberC51341
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC51341
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: