MEDICARE: KAREN MAE AU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	A100616	CA

General Provider Information

NPI Number	:	1144478306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MAE AU MD

Provider Business Mailing Address
First Line	:	1000 VETERAN AVE
Second Line	:	REHAB BLDG 32-59
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2704
Country	:	US
Telephone Number	:	310-825-2448
Fax Number	:	310-794-6553

Provider Business Practice Location Address
First Line	:	1000 VETERAN AVE
Second Line	:	REHAB BLDG 32-59
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2704
Country	:	US
Telephone Number	:	310-825-2448
Fax Number	:	310-794-6553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2008
Last Update Date	:	12/08/2021

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