Provider Demographics
NPI:1538778261
Name:KARIMI AFSHAR, ARASH (DO)
Entity type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:KARIMI AFSHAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:ARASH
Other - Middle Name:
Other - Last Name:AFSHAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:14850 ROSCOE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4677
Mailing Address - Country:US
Mailing Address - Phone:818-904-3132
Mailing Address - Fax:
Practice Address - Street 1:14850 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4677
Practice Address - Country:US
Practice Address - Phone:818-787-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A21301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine