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NPI Code Detail

MEDICARE: DAVID M HEMMATI

MEDICARE:   DAVID M HEMMATI
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208100000XPhysical Medicine & Rehabilitation PhysicianA165063CA

General Provider Information

NPI Number : 1568968030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M HEMMATI
Provider Business Mailing Address
First Line : 3744 MONTUSO PL
Second Line :
City : ENCINO
State : CA
Zip : 91436-4002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2006
Country : US
Telephone Number : 424-363-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 05/07/2024

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Directions to “ DAVID M HEMMATI ” Practice Location

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