Healthcare Provider Details

I. General information

NPI: 1154328771
Provider Name (Legal Business Name): DENIS P. KARP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2005
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 N. MAGNOLIA AVE.
ANAHEIM CA
92801-2607
US

IV. Provider business mailing address

1236 N. MAGNOLIA AVE.
ANAHEIM CA
92801
US

V. Phone/Fax

Practice location:
  • Phone: 714-995-1000
  • Fax: 714-828-7926
Mailing address:
  • Phone: 949-661-3051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG53535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: