Provider Demographics
NPI:1275027849
Name:STRAEHLEY, KAREN ELIANA (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIANA
Last Name:STRAEHLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12291 HERITAGE SPRINGS DR APT 308
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-6938
Mailing Address - Country:US
Mailing Address - Phone:971-719-5938
Mailing Address - Fax:
Practice Address - Street 1:11436 GARVEY AVE STE A&B
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-3304
Practice Address - Country:US
Practice Address - Phone:626-800-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA196221363A00000X
CA58264363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant