MEDICARE: HOOMAN K KARIMI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4308	CA

General Provider Information

NPI Number	:	1013962125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOOMAN K KARIMI DPM

Provider Business Mailing Address
First Line	:	PO BOX 1152
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-0152
Country	:	US
Telephone Number	:	310-739-0424
Fax Number	:	310-373-8457

Provider Business Practice Location Address
First Line	:	26516 CRENSHAW BLVD
Second Line	:
City	:	PALOS VERDES PENINSULA
State	:	CA
Zip	:	90274-3970
Country	:	US
Telephone Number	:	310-739-0424
Fax Number	:	310-373-8457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/26/2018

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