Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | A509800 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A50980 | CA |
NPI | 1215036215 |
---|---|
Provider Name | Dr. Ardeshir Karimi |
First Address | San Gabriel, CA 91776-1213 |
Second Address | San Gabriel, CA 91776-1213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6727433 | (05) | CA |
F91282 | (02) | CA |