Provider Demographics
NPI:1518923374
Name:HARP, KARIN ILA X (MD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:ILA
Last Name:HARP
Suffix:X
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:ILA
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:31731 DUNRAVEN CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4516
Mailing Address - Country:US
Mailing Address - Phone:818-661-8209
Mailing Address - Fax:
Practice Address - Street 1:32144 AGOURA RD
Practice Address - Street 2:SUITE 112
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4031
Practice Address - Country:US
Practice Address - Phone:818-889-2739
Practice Address - Fax:818-889-2747
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107627207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8856308Medicare PIN
WAI42223Medicare UPIN
H49094Medicare UPIN