MEDICARE: RAHIM KARJOO MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	C37311	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295914935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAHIM KARJOO MD INC

Provider Business Mailing Address
First Line	:	12665 GARDEN GROVE BLVD.
Second Line	:	STE. 113
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1915
Country	:	US
Telephone Number	:	714-636-0261
Fax Number	:	714-636-0263

Provider Business Practice Location Address
First Line	:	12665 GARDEN GROVE BLVD.
Second Line	:	STE. 113
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1915
Country	:	US
Telephone Number	:	714-636-0261
Fax Number	:	714-636-0263

Authorized Official
Title or Position	:	PRESIDENT/MEDICAL DIRECTOR
Name	:	RAHIM KARJOO
Credential	:	MD
Telephone Number	:	714-636-0261

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	01/07/2011

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