Provider Demographics
NPI:1528007861
Name:FU, KAREN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-282-1671
Mailing Address - Fax:949-367-0518
Practice Address - Street 1:30131 TOWN CENTER DR
Practice Address - Street 2:SUITE #135
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2034
Practice Address - Country:US
Practice Address - Phone:949-363-9595
Practice Address - Fax:949-363-7055
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-10-22
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Provider Licenses
StateLicense IDTaxonomies
CAA69169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG73987Medicare UPIN
CAHC683ZMedicare PIN