1578678959 NPI number — DR. ABDULRAHMAN H AL-HASHIM D.C., QME

Table of content: DR. ABDULRAHMAN H AL-HASHIM D.C., QME (NPI 1578678959)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578678959 NPI number — DR. ABDULRAHMAN H AL-HASHIM D.C., QME

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AL-HASHIM
Provider First Name:
ABDULRAHMAN
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C., QME
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578678959
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 N ROBERTSON BLVD, 501
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEVERLY HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-402-4001
Provider Business Mailing Address Fax Number:
310-933-0333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2019 SAWTELLE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025-6229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-844-6630
Provider Business Practice Location Address Fax Number:
310-933-0333
Provider Enumeration Date:
08/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  25030 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com