Provider Demographics
NPI:1659510154
Name:KARIMI, ABDOLHAMID (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ABDOLHAMID
Middle Name:
Last Name:KARIMI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HAMID
Other - Middle Name:
Other - Last Name:KARIMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:145 S FIG ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4453
Mailing Address - Country:US
Mailing Address - Phone:619-200-1678
Mailing Address - Fax:760-746-2228
Practice Address - Street 1:145 S FIG ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4453
Practice Address - Country:US
Practice Address - Phone:619-200-1678
Practice Address - Fax:760-746-2228
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-07
Last Update Date:2009-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB 32655103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSB # 32655OtherBOARD OF PSYCHOLOGY