Healthcare Provider Details

I. General information

NPI: 1124416607
Provider Name (Legal Business Name): VAHID HEMAT MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 01/06/2015
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 TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberC51341
License Number StateCA

VIII. Authorized Official

Name: DR. VAHID HEKMAT
Title or Position: OWNER
Credential: MD
Phone: 818-999-3800