Healthcare Provider Details
I. General information
NPI: 1003475286
Provider Name (Legal Business Name): KARIMA GULWANI NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/11/2019
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8800 ALONDRA BLVD STE C
BELLFLOWER CA
90706-4355
US
IV. Provider business mailing address
8800 ALONDRA BLVD STE C
BELLFLOWER CA
90706-4355
US
V. Phone/Fax
- Phone: 562-602-2508
- Fax:
- Phone: 562-602-2508
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 450765 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 95012454 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: