Provider Demographics
NPI:1487873188
Name:HAKIM, NAHAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAHAL
Middle Name:
Last Name:HAKIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:NAHAL
Other - Middle Name:
Other - Last Name:HAKIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:507 CALIFORNIA AVE
Mailing Address - Street 2:APT 105
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-3921
Mailing Address - Country:US
Mailing Address - Phone:310-917-2780
Mailing Address - Fax:
Practice Address - Street 1:327 WILSHIRE BL
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401
Practice Address - Country:US
Practice Address - Phone:310-395-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist