Provider Demographics
NPI:1386841377
Name:INNOVATIVE MEDICAL ASSOCIATES, INC.
Entity type:Organization
Organization Name:INNOVATIVE MEDICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEKMATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-281-4999
Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5100
Mailing Address - Country:US
Mailing Address - Phone:310-281-4999
Mailing Address - Fax:310-275-8727
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:SUITE 380
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5100
Practice Address - Country:US
Practice Address - Phone:310-281-4999
Practice Address - Fax:310-275-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63893207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty