Provider Demographics
NPI:1003913245
Name:KORNREICH, KAREN SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:KORNREICH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:150 NORTH ROBERTSON BLVD
Mailing Address - Street 2:# 200
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:310-652-9347
Mailing Address - Fax:310-652-3489
Practice Address - Street 1:150 NORTH ROBERTSON BLVD
Practice Address - Street 2:# 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-652-9347
Practice Address - Fax:310-652-3489
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-11-14
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Provider Licenses
StateLicense IDTaxonomies
CAG46710207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A92670Medicare UPIN