Provider Demographics
NPI:1932439080
Name:SOKOLOV, KAREN GM (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:GM
Last Name:SOKOLOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:GALIA
Other - Last Name:MUHTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 512185
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-0185
Mailing Address - Country:US
Mailing Address - Phone:626-775-3200
Mailing Address - Fax:310-335-4098
Practice Address - Street 1:5215 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-750-1715
Practice Address - Fax:310-792-6551
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1000912085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB207598Medicare PIN
CACA112891Medicare PIN