Provider Demographics
NPI:1467241315
Name:KARIKARI, EDEN KWABENA
Entity type:Individual
Prefix:MR
First Name:EDEN
Middle Name:KWABENA
Last Name:KARIKARI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10797 SAN DIEGO MISSION RD UNIT 203
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2403
Mailing Address - Country:US
Mailing Address - Phone:646-606-6760
Mailing Address - Fax:
Practice Address - Street 1:4791 E PALM CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-5220
Practice Address - Country:US
Practice Address - Phone:760-834-7930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95034057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily