Skip Navigation

Provider Information for 1942469689



PASHA HAKIMZADEH DDS

Gender: MALE

Individual NPI: 1942469689

Calendar Last Updated: 2008-06-07

Details

Name Value
NPI 1942469689
Enumeration Date 2008-06-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3638 S CENTINELA AVE APT A
LOS ANGELES, CA 90066-3124
United States

Phone: 310-350-5763 | Fax:
View Map External Link
Primary Practice Address 3638 S CENTINELA AVE APT A
LOS ANGELES, CA 90066-3124
United States

Phone: 310-350-5763 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 57057
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location