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NPI Code Detail

MEDICARE: DR. ASSAL HAKHAMJANI D.D.S.

MEDICARE: DR. ASSAL HAKHAMJANI D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry65095CA

General Provider Information

NPI Number : 1255699955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASSAL HAKHAMJANI D.D.S.
Provider Business Mailing Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-274-3260
Fax Number :
Provider Business Practice Location Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-232-0958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 12/20/2021

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