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Organization
MATERNAL FETAL MEDICINE MEDICAL GROUP OF SOUTHERN CALIFORNIA
Active
Organization
MATERNAL FETAL MEDICINE MEDICAL GROUP OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARDESHIR KARIMI M.D. (DIRECTOR)
(626) 282-9250
Entity
Organization
Contact information
Practice address
207 S. SANTA ANITA STREET, SUITE 338, SANGABRIEL, CA 91776-1160
(626) 282-9250
(626) 282-9953
Mailing address
PO BOX 219, SAN GABRIEL, CA 91778-0219
(626) 282-9250
(626) 282-9953
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
A50980
CA
174400000X
Specialist
A50980
CA
174400000X
Specialist
Primary
A50980
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6727433
—
CA
Enumeration date
10/19/2011
Last updated
10/19/2011
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