Provider Demographics
NPI:1417004326
Name:RABIN, KAREN (PHD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:RABIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23121 PLAZA POINTE DR
Mailing Address - Street 2:#150
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1468
Mailing Address - Country:US
Mailing Address - Phone:949-837-2719
Mailing Address - Fax:949-837-5002
Practice Address - Street 1:23121 PLAZA POINTE DR
Practice Address - Street 2:#150
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1468
Practice Address - Country:US
Practice Address - Phone:949-837-2719
Practice Address - Fax:949-837-5002
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF21448106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist