Provider Demographics
NPI:1083867352
Name:KARIMI-TALEGHANI, HABIBOLLAH (MD)
Entity type:Individual
Prefix:
First Name:HABIBOLLAH
Middle Name:
Last Name:KARIMI-TALEGHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4603
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-0603
Mailing Address - Country:US
Mailing Address - Phone:909-538-9023
Mailing Address - Fax:323-936-7572
Practice Address - Street 1:5478 WILSHIRE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4229
Practice Address - Country:US
Practice Address - Phone:323-936-7525
Practice Address - Fax:323-936-7572
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA068232207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine