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NPI Code Detail

MEDICARE: DR. IHSAN HAKIMEH MD

MEDICARE: DR. IHSAN HAKIMEH MD
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
1207R00000XInternal Medicine PhysicianA44274CA

General Provider Information

NPI Number : 1407805153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IHSAN HAKIMEH MD
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 2025 E ROUTE 66
Second Line :
City : GLENDORA
State : CA
Zip : 91740-4670
Country : US
Telephone Number : 626-852-4923
Fax Number : 626-914-5419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/17/2025

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Directions to “ DR. IHSAN HAKIMEH MD” Practice Location

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