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NPI Code Detail

MEDICARE: KAREN LOUISE MO M.D.

MEDICARE: KAREN LOUISE MO M.D.
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
1207Q00000XFamily Medicine PhysicianG079716CA

General Provider Information

NPI Number : 1326023086
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LOUISE MO M.D.
Provider Business Mailing Address
First Line : 2660 W COVELL BLVD
Second Line : SUITE B
City : DAVIS
State : CA
Zip : 95616-5645
Country : US
Telephone Number : 530-747-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2660 W COVELL BLVD
Second Line : SUITE B
City : DAVIS
State : CA
Zip : 95616-5645
Country : US
Telephone Number : 530-747-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 12/14/2007

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Directions to “ KAREN LOUISE MO M.D.” Practice Location

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