Provider Demographics
NPI:1659034676
Name:KARIMI, NOOZHAN (DDS)
Entity Type:Individual
Prefix:
First Name:NOOZHAN
Middle Name:
Last Name:KARIMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 BALBOA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2711
Mailing Address - Country:US
Mailing Address - Phone:213-810-6564
Mailing Address - Fax:858-225-0410
Practice Address - Street 1:5927 BALBOA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2711
Practice Address - Country:US
Practice Address - Phone:213-810-6564
Practice Address - Fax:858-225-0410
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE612198991223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics