Healthcare Provider Details

I. General information

NPI: 1215492210
Provider Name (Legal Business Name): NASIM KARIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date: 08/20/2021
Reactivation Date: 12/02/2022

III. Provider practice location address

323 N PRAIRIE AVE
INGLEWOOD CA
90301-4502
US

IV. Provider business mailing address

4760 S. SEPULVEDA BLVD.
CULVER CITY CA
90230
US

V. Phone/Fax

Practice location:
  • Phone: 310-677-7808
  • Fax: 310-677-7205
Mailing address:
  • Phone: 310-390-6612
  • Fax: 310-398-5690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: