Healthcare Provider Details

I. General information

NPI: 1124836127
Provider Name (Legal Business Name): KAROLINA BARANOWSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2024
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 28TH ST STE 116
LONG BEACH CA
90806-2771
US

IV. Provider business mailing address

100 LAUREL CT
MILFORD PA
18337-7576
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-9900
  • Fax: 562-490-9900
Mailing address:
  • Phone: 570-877-2825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA65888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: