Provider Demographics
NPI:1598855256
Name:KARASCH, MARTIN H (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:H
Last Name:KARASCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32392 COAST HWY
Mailing Address - Street 2:STE. 250
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6776
Mailing Address - Country:US
Mailing Address - Phone:949-499-2265
Mailing Address - Fax:949-499-2276
Practice Address - Street 1:32392 COAST HWY
Practice Address - Street 2:STE. 250
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6776
Practice Address - Country:US
Practice Address - Phone:949-499-2265
Practice Address - Fax:949-499-2276
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG229762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G229760OtherBLUE SHIELD OF CA
CAA89380Medicare UPIN
CA00G229760OtherBLUE SHIELD OF CA