Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A116235 | CA |
N | 207YS0123X | Facial Plastic Surgeon | ME108935 | FL |
NPI | 1073603262 |
---|---|
Provider Name | Kian Karimi |
First Address | Los Angeles, CA 90025-6842 |
Second Address | Los Angeles, CA 90025-6842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 18/02/2021 |