Basic Information
| Provider Information | |||||||||
| NPI: | 1184756314 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIRIAKOS | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | RAMZI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9171 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 615 | ||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902105530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102718422 | ||||||||
| FaxNumber: | 3102731010 | ||||||||
| Practice Location | |||||||||
| Address1: | 9171 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 615 | ||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902105530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102718422 | ||||||||
| FaxNumber: | 3102731010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A85546 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.