MEDICARE: DR. ALEXIS DANIEL HAKIM M.D.

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A104405	CA
2	207R00000X	Internal Medicine Physician	A104405	CA
3	207RP1001X	Pulmonary Disease Physician	A104405	CA
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	A104405	CA

General Provider Information

NPI Number	:	1760675110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS DANIEL HAKIM M.D.

Provider Business Mailing Address
First Line	:	10573 W PICO BLVD # 207
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2333
Country	:	US
Telephone Number	:	213-267-5337
Fax Number	:	424-330-2377

Provider Business Practice Location Address
First Line	:	10573 W PICO BLVD # 207
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2333
Country	:	US
Telephone Number	:	213-267-5337
Fax Number	:	424-330-2377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	09/29/2025

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