Individual
KARIM NOURI MAHDAVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2755 ALAMO ST, STE 100, SIMI VALLEY, CA 93065-1311
(805) 210-7280
(805) 210-7281
Mailing address
4775 DEL MORENO PL, WOODLAND HILLS, CA 91364-4634
(818) 346-4380
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C50379
CA
208000000X
Pediatrics Physician
C50379
CA
Other
Enumeration date
08/31/2005
Last updated
09/16/2010
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