Healthcare Provider Details

I. General information

NPI: 1851852644
Provider Name (Legal Business Name): KARIM FAHMY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16405 SAND CANYON AVE STE 200
IRVINE CA
92618-3786
US

IV. Provider business mailing address

17853 SANTIAGO BLVD STE 107-327
VILLA PARK CA
92861-4113
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-1411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20320
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: