Healthcare Provider Details

I. General information

NPI: 1619905437
Provider Name (Legal Business Name): GERALD NATHAN KARPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2438 N PONDEROSA DR C-105
CAMARILLO CA
93010-2369
US

IV. Provider business mailing address

2438 N PONDEROSA DR C-105
CAMARILLO CA
93010-2369
US

V. Phone/Fax

Practice location:
  • Phone: 805-388-2068
  • Fax: 805-484-7700
Mailing address:
  • Phone: 805-388-2068
  • Fax: 805-484-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG29766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: