Provider Demographics
NPI:1922098672
Name:TRUELOVE, KATHARINA (MD)
Entity Type:Individual
Prefix:
First Name:KATHARINA
Middle Name:
Last Name:TRUELOVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45680
Mailing Address - Street 2:STE 120
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94145-0680
Mailing Address - Country:US
Mailing Address - Phone:916-933-8010
Mailing Address - Fax:916-933-8939
Practice Address - Street 1:5137 GOLDEN FOOTHILL PKWY
Practice Address - Street 2:STE 120
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762
Practice Address - Country:US
Practice Address - Phone:916-933-8010
Practice Address - Fax:916-933-8939
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2013-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78759207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I25047Medicare UPIN