Provider Demographics
NPI:1376989392
Name:DE WINTER, KARA LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LAUREN
Last Name:DE WINTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LAUREN
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2888 LONG BEACH BLVD STE 325
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-7503
Mailing Address - Country:US
Mailing Address - Phone:562-426-4904
Mailing Address - Fax:
Practice Address - Street 1:2888 LONG BEACH BLVD STE 325
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-7503
Practice Address - Country:US
Practice Address - Phone:562-426-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA168209207V00000X, 207VF0040X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology