Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A92760 | CA |
NPI | 1023161676 |
---|---|
Provider Name | Mrs. Neda Karimi |
First Address | Newbury Park, CA 91320-7022 |
Second Address | Oxnard, CA 93030-3790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I44229 | (02) | CA |