Provider Demographics
NPI:1174910699
Name:A. HAKHAMIAN DDS INC
Entity type:Organization
Organization Name:A. HAKHAMIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKHAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-653-7500
Mailing Address - Street 1:6333 WILSHIRE BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5723
Mailing Address - Country:US
Mailing Address - Phone:323-653-7500
Mailing Address - Fax:323-653-4076
Practice Address - Street 1:6333 WILSHIRE BLVD STE 311
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5723
Practice Address - Country:US
Practice Address - Phone:323-653-7500
Practice Address - Fax:323-653-4076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A. HAKHAMIAN DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59147122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty