Provider Demographics
NPI:1992194187
Name:KAREN K. QUIRK, M.D., INC
Entity Type:Organization
Organization Name:KAREN K. QUIRK, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIRK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-926-4236
Mailing Address - Street 1:11550 INDIAN HILLS RD STE 310
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1203
Mailing Address - Country:US
Mailing Address - Phone:818-898-4900
Mailing Address - Fax:818-898-4990
Practice Address - Street 1:11550 INDIAN HILLS RD STE 310
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1203
Practice Address - Country:US
Practice Address - Phone:818-898-4900
Practice Address - Fax:818-898-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102046208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty