Healthcare Provider Details

I. General information

NPI: 1699696294
Provider Name (Legal Business Name): KARIMAN NASSAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 CHANTILLY
IRVINE CA
92620-2804
US

IV. Provider business mailing address

61 CHANTILLY
IRVINE CA
92620-2804
US

V. Phone/Fax

Practice location:
  • Phone: 213-290-8641
  • Fax:
Mailing address:
  • Phone: 213-290-8641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113591
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: