Provider Demographics
NPI:1013962125
Name:KARIMI, HOOMAN K (DPM)
Entity Type:Individual
Prefix:
First Name:HOOMAN
Middle Name:K
Last Name:KARIMI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1152
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-0152
Mailing Address - Country:US
Mailing Address - Phone:310-739-0424
Mailing Address - Fax:310-373-8457
Practice Address - Street 1:26516 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:PALOS VERDES PENINSULA
Practice Address - State:CA
Practice Address - Zip Code:90274-3970
Practice Address - Country:US
Practice Address - Phone:310-739-0424
Practice Address - Fax:310-373-8457
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4308213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE4308BMedicare ID - Type Unspecified
CAW13800Medicare ID - Type Unspecified
CAU83967Medicare UPIN