Provider Demographics
NPI:1982668216
Name:KARON, DONALD CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CHARLES
Last Name:KARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11190 WARNER AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4019
Mailing Address - Country:US
Mailing Address - Phone:714-549-0988
Mailing Address - Fax:714-549-7905
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-549-0988
Practice Address - Fax:714-549-7905
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG 0514972085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G514970Medicaid
CAA 52009Medicare UPIN
CA00G514970Medicaid