Provider Demographics
NPI:1912461377
Name:ABDUL-KARIM, GHASSAN
Entity Type:Individual
Prefix:DR
First Name:GHASSAN
Middle Name:
Last Name:ABDUL-KARIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 STARTOUCH DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1339
Mailing Address - Country:US
Mailing Address - Phone:626-345-8406
Mailing Address - Fax:
Practice Address - Street 1:616 N GARFIELD AVE STE 403
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1101
Practice Address - Country:US
Practice Address - Phone:626-623-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist