Provider Demographics
NPI:1598089914
Name:KARIM ABDOLLAHI M D INC A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:KARIM ABDOLLAHI M D INC A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDOLLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-499-8226
Mailing Address - Street 1:PO BOX 6974
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92607-6974
Mailing Address - Country:US
Mailing Address - Phone:949-499-8226
Mailing Address - Fax:
Practice Address - Street 1:31862 COAST HWY
Practice Address - Street 2:400
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6769
Practice Address - Country:US
Practice Address - Phone:949-499-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty