Provider Demographics
NPI:1124258660
Name:ROBERT HASHEMIYOON MD INC
Entity type:Organization
Organization Name:ROBERT HASHEMIYOON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BABAK
Authorized Official - Last Name:HASHEMIYOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-271-5875
Mailing Address - Street 1:264 S LA CIENEGA BLVD
Mailing Address - Street 2:SUITE 362
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3302
Mailing Address - Country:US
Mailing Address - Phone:310-271-5875
Mailing Address - Fax:310-360-6246
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1020
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:310-271-5876
Practice Address - Fax:310-360-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86202207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG86202Medicare PIN