Healthcare Provider Details

I. General information

NPI: 1285082156
Provider Name (Legal Business Name): TINA KARIMI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE STE 5
SAN DIEGO CA
92101-5209
US

IV. Provider business mailing address

1111 6TH AVE STE 5 50 PMB 687555
SAN DIEGO CA
92101-5211
US

V. Phone/Fax

Practice location:
  • Phone: 619-736-6982
  • Fax:
Mailing address:
  • Phone: 619-736-6982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: