Provider Demographics
NPI:1780648709
Name:KOE, KAREN E (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:KOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10861 CHERRY ST STE 308
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-5403
Mailing Address - Country:US
Mailing Address - Phone:562-595-1961
Mailing Address - Fax:562-595-5351
Practice Address - Street 1:10861 CHERRY ST STE 308
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-5403
Practice Address - Country:US
Practice Address - Phone:562-595-1961
Practice Address - Fax:562-595-5351
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG60896207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW385Medicare ID - Type Unspecified
CAE15055Medicare UPIN