Healthcare Provider Details

I. General information

NPI: 1174452221
Provider Name (Legal Business Name): THE GERIATRICIAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WILSHIRE BLVD EAST TOWER SUITE 333 - #2037
BEVERLY HILLS CA
90212
US

IV. Provider business mailing address

9100 WILSHIRE BLVD EAST TOWER SUITE 333 - #2037
BEVERLY HILLS CA
90212
US

V. Phone/Fax

Practice location:
  • Phone: 424-209-7881
  • Fax:
Mailing address:
  • Phone: 424-209-7881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARLA MARTINEZ COLEMAN
Title or Position: CEO
Credential: MD
Phone: 512-524-7676