Healthcare Provider Details

I. General information

NPI: 1780022640
Provider Name (Legal Business Name): JOSEPH A KARAM, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19845 LAKE CHABOT RD SUITE 200
CASTRO VALLEY CA
94546-4055
US

IV. Provider business mailing address

PO BOX 191569 4750 J STREET
SACRAMENTO CA
95819-7569
US

V. Phone/Fax

Practice location:
  • Phone: 714-289-1559
  • Fax: 714-289-0280
Mailing address:
  • Phone: 714-289-1559
  • Fax: 714-289-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG88497
License Number StateCA

VIII. Authorized Official

Name: DR. JOSEPH KARAM
Title or Position: PRESIDENT
Credential: MD
Phone: 916-550-1696