Healthcare Provider Details

I. General information

NPI: 1164503330
Provider Name (Legal Business Name): FARAH KARIM AHAMED DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FARAH MUNEER KARIM DO

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2382 CRENSHAW BLVD SUITE 5
TORRANCE CA
90501
US

IV. Provider business mailing address

10 VIA PERGOLA
RANCHO PALOS VERDES CA
90275
US

V. Phone/Fax

Practice location:
  • Phone: 310-618-9200
  • Fax: 310-618-1241
Mailing address:
  • Phone: 310-541-3582
  • Fax: 310-618-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberUO1205
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number20A10100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: