Healthcare Provider Details

I. General information

NPI: 1235794181
Provider Name (Legal Business Name): MUNTARIN KARIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 05/08/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST
BURBANK CA
91505-4554
US

IV. Provider business mailing address

191 S BUENA VISTA ST STE 100
BURBANK CA
91505-4562
US

V. Phone/Fax

Practice location:
  • Phone: 818-869-7600
  • Fax:
Mailing address:
  • Phone: 818-869-7600
  • Fax: 818-333-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number19630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: