Maternal Fetal Medicine Medical Group of Southern California
Organization Active NPI Specialist · Sangabriel, CA
NPI 1598040784 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1598040784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- A50980
- Legal business name
- MATERNAL FETAL MEDICINE MEDICAL GROUP OF SOUTHERN CALIFORNIA
- Practice address
- 207 S. Santa Anita Street
Suite 338
Sangabriel, CA 91776-1160 - Phone
- (626) 282-9250
- Fax
- (626) 282-9953
- NPI assigned
- Oct 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Ardeshir Karimi, M.D.
- Title
- Director
- Phone
- (626) 282-9250
Practitioners 3
-
Ardeshir Karimi, MD
-
Afsaneh Karimi, MD
-
Gwendolyn Jean Ryan, M.S.
National Provider Directory
Locations
8540 S Sepulveda Blvd
Ste 1208
Los Angeles, CA 90045
207 S Santa Anita St
Ste 338
San Gabriel, CA 91776
Phone (626) 282-9250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics |
170100000X | A50980 | CA | |
| Specialist |
174400000X | A50980 | Yes | |
| Specialist |
174400000X | A50980 | CA |
Addresses
Primary practice location
207 S. Santa Anita Street
Suite 338
Sangabriel, CA 91776-1160
Mailing address
PO Box 219
San Gabriel, CA 91778-0219
Phone (626) 282-9250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6727433 | Medicaid | CA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.