Provider Demographics
NPI:1063949493
Name:KARIMI, AHMAD ZAFAR (DMD)
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:ZAFAR
Last Name:KARIMI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 HALISON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2048
Mailing Address - Country:US
Mailing Address - Phone:310-227-3133
Mailing Address - Fax:
Practice Address - Street 1:4906 HALISON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2048
Practice Address - Country:US
Practice Address - Phone:310-227-3133
Practice Address - Fax:310-227-3133
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1013281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice