Individual ProviderBenjamin HakakianPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029(323) 409-9018(323) 409-0018PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Hakakian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1801590831Provider TypeIndividualFull NameHakakian, BenjaminCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/27/2023Last Updated4/28/2025Contact InformationPractice LocationPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-9018FaxUnlisted FaxMailing LocationMailing Address2051 Marengo St, Los Angeles, CA 90033-1352Phone(323) 409-0018FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA197348CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer