Provider Demographics
NPI:1245622075
Name:AFSANEH KARIMI, MD. INC.
Entity type:Organization
Organization Name:AFSANEH KARIMI, MD. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AFSANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-693-8111
Mailing Address - Street 1:PO BOX 11708
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-4708
Mailing Address - Country:US
Mailing Address - Phone:310-693-8111
Mailing Address - Fax:
Practice Address - Street 1:9100 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 117
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4814
Practice Address - Country:US
Practice Address - Phone:310-693-8111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52974174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty