Provider Demographics
NPI:1518912211
Name:ALTMAN, KAREN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8733 BEVERLY BL
Mailing Address - Street 2:404
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-659-8451
Mailing Address - Fax:310-659-6620
Practice Address - Street 1:8733 BEVERLY BL
Practice Address - Street 2:404
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-659-8451
Practice Address - Fax:310-659-6620
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG560642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G560640Medicaid
E48070Medicare UPIN
CA00G560640Medicaid