Provider Demographics
NPI:1790392876
Name:ABDELKARIM, ASHRAF JAMAL
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:JAMAL
Last Name:ABDELKARIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 TORRANCE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5805
Mailing Address - Country:US
Mailing Address - Phone:310-787-1335
Mailing Address - Fax:310-787-1809
Practice Address - Street 1:3440 TORRANCE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5805
Practice Address - Country:US
Practice Address - Phone:310-787-1335
Practice Address - Fax:310-787-1809
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)