Provider Demographics
NPI:1194534313
Name:KARIMI-ZAND, ALEXANDER JOB
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JOB
Last Name:KARIMI-ZAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23504 LYONS AVE STE 401B
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5777
Mailing Address - Country:US
Mailing Address - Phone:661-977-4747
Mailing Address - Fax:
Practice Address - Street 1:23504 LYONS AVE STE 401B
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-5777
Practice Address - Country:US
Practice Address - Phone:661-977-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA1E8DB16D31171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach