Provider Demographics
NPI:1700108610
Name:HAKHAMIAN, ARASH (DDS)
Entity type:Individual
Prefix:MR
First Name:ARASH
Middle Name:
Last Name:HAKHAMIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARASH
Other - Middle Name:
Other - Last Name:OMID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AS, BS, DDS,
Mailing Address - Street 1:2002 S. HOOVER ST.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007
Mailing Address - Country:US
Mailing Address - Phone:310-858-7373
Mailing Address - Fax:213-741-9111
Practice Address - Street 1:8420 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280
Practice Address - Country:US
Practice Address - Phone:323-567-2137
Practice Address - Fax:323-567-5514
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA591471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice