Provider Demographics
NPI:1881947471
Name:AMIR. M. KARAM INC.
Entity type:Organization
Organization Name:AMIR. M. KARAM INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEANNA
Authorized Official - Middle Name:LYON
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-259-3223
Mailing Address - Street 1:4765 CARMEL MOUNTAIN RD., SUITE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:858-259-3223
Mailing Address - Fax:858-259-3221
Practice Address - Street 1:4765 CARMEL MOUNTAIN RD., SUITE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130
Practice Address - Country:US
Practice Address - Phone:858-259-3223
Practice Address - Fax:858-259-3221
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMIR M. KARAM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA824842086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty