Provider Demographics
NPI:1629253497
Name:KARIMI, DANIELLE PERRET (MD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:PERRET
Last Name:KARIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CITY BLVD W
Mailing Address - Street 2:SUITE #2150
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2903
Mailing Address - Country:US
Mailing Address - Phone:949-824-9810
Mailing Address - Fax:949-824-8417
Practice Address - Street 1:333 CITY BLVD W
Practice Address - Street 2:SUITE #2150
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2903
Practice Address - Country:US
Practice Address - Phone:949-824-9810
Practice Address - Fax:949-824-8417
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA967812081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA96781OtherSTATE LICENCE