Provider Demographics
NPI:1831291400
Name:KARIMI, AFSANEH (MD)
Entity type:Individual
Prefix:
First Name:AFSANEH
Middle Name:
Last Name:KARIMI
Suffix:
Gender:F
Credentials:MD
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 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:424-702-5750
Mailing Address - Fax:844-318-8709
Practice Address - Street 1:9100 S SEPULVEDA BLVD STE 117
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4849
Practice Address - Country:US
Practice Address - Phone:424-702-5750
Practice Address - Fax:844-318-8709
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA529740-19393171100000X
CAA529740207VX0000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No171100000XOther Service ProvidersAcupuncturist
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A529740Medicaid