Individual
ELIAS KARIMYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 W AVENIDA DE LAS FLORES, THOUSAND OAKS, CA 91360-1803
(805) 405-3156
Mailing address
212 W AVENIDA DE LAS FLORES, THOUSAND OAKS, CA 91360-1803
(805) 405-3156
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95186115
CA
164X00000X
Licensed Vocational Nurse
VN682384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90520446C
—
CA
Enumeration date
08/27/2018
Last updated
05/28/2020
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