Provider Demographics
NPI:1184655698
Name:DON, KAREN M (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:DON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8039
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-8039
Mailing Address - Country:US
Mailing Address - Phone:714-965-2500
Mailing Address - Fax:714-965-2581
Practice Address - Street 1:9900 TALBERT AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5153
Practice Address - Country:US
Practice Address - Phone:714-965-2500
Practice Address - Fax:714-965-2581
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG78774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WG78774AMedicare ID - Type Unspecified
G05794Medicare UPIN