MEDICARE: SOFIA KARIM

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	1041C0700X	Clinical Social Worker	100841	CA
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1912548652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA KARIM

Provider Business Mailing Address
First Line	:	838 PINE AVE UNIT 111
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-5821
Country	:	US
Telephone Number	:	144-234-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	838 PINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-5818
Country	:	US
Telephone Number	:	714-423-4827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	01/03/2022

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Directions to “ SOFIA KARIM ” Practice Location

Language	Start Address	Practice Location

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