Provider Demographics
NPI:1588866149
Name:GOCHETTE, HAKEEM (DC)
Entity type:Individual
Prefix:DR
First Name:HAKEEM
Middle Name:
Last Name:GOCHETTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JALI
Other - Middle Name:ALTO
Other - Last Name:GOCHETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5601 W SLAUSON AVE STE 234
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-3402
Mailing Address - Country:US
Mailing Address - Phone:310-670-9344
Mailing Address - Fax:310-670-9376
Practice Address - Street 1:5601 W SLAUSON AVE STE 234
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-3402
Practice Address - Country:US
Practice Address - Phone:310-670-9344
Practice Address - Fax:310-670-9376
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA58211Medicare UPIN