Healthcare Provider Details

I. General information

NPI: 1750510368
Provider Name (Legal Business Name): KAREN AYRE RASMUSSEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN JUNE AYRE

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 N BELLFLOWER BLVD STE 210
LONG BEACH CA
90815-4020
US

IV. Provider business mailing address

1777 N BELLFLOWER BLVD STE 210
LONG BEACH CA
90815-4020
US

V. Phone/Fax

Practice location:
  • Phone: 562-248-2999
  • Fax: 562-248-2998
Mailing address:
  • Phone: 562-248-2999
  • Fax: 562-248-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA109736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: