=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164559688
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARIMA HIRANI M.D., M.P.H.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12732-B W. WASHINGTON BLVD SUITE B
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90066-2378
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-577-0753
-----------------------------------------------------
Fax | 310-577-0724
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12732-B W. WASHINGTON BLVD SUITE B
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90066-2378
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-577-0753
-----------------------------------------------------
Fax | 310-577-0724
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | G79715
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------