Provider Demographics
NPI:1598058901
Name:KAREN FOR YOU HEALTH SERVICES
Entity Type:Organization
Organization Name:KAREN FOR YOU HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA KATHRENA
Authorized Official - Middle Name:KALAW
Authorized Official - Last Name:WEEDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-898-9804
Mailing Address - Street 1:67245 MEDANO RD
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3440
Mailing Address - Country:US
Mailing Address - Phone:760-898-9804
Mailing Address - Fax:
Practice Address - Street 1:67245 MEDANO RD
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-3440
Practice Address - Country:US
Practice Address - Phone:760-898-9804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN211492302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization