Provider Demographics
NPI:1790868560
Name:TOBIAS, KAREN STREISAND (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:STREISAND
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:STREISAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1441 BRETT PL UNIT 326
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-5115
Mailing Address - Country:US
Mailing Address - Phone:319-222-4086
Mailing Address - Fax:310-212-7609
Practice Address - Street 1:1000 W CARSON ST # 497
Practice Address - Street 2:HARBOR UCLA MEDICAL CENTER PMRT
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-4086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN436867163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health