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NPI Code Detail

MEDICARE: HIKMAT HADDAD LVN

MEDICARE: HIKMAT HADDAD LVN
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
1164X00000XLicensed Vocational NurseVN156202CA

General Provider Information

NPI Number : 1316063688
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIKMAT HADDAD LVN
Provider Business Mailing Address
First Line : 1800 STATE ST APT 17
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2123
Country : US
Telephone Number : 818-755-4950
Fax Number :
Provider Business Practice Location Address
First Line : 10526 DUBNOFF WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3921
Country : US
Telephone Number : 818-755-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ HIKMAT HADDAD LVN” Practice Location

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