Provider Demographics
NPI:1891456398
Name:HALLINAN, KARINA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:HALLINAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21020 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:NUEVO
Mailing Address - State:CA
Mailing Address - Zip Code:92567-9571
Mailing Address - Country:US
Mailing Address - Phone:951-505-8517
Mailing Address - Fax:
Practice Address - Street 1:10000 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3508
Practice Address - Country:US
Practice Address - Phone:951-358-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator