Healthcare Provider Details

I. General information

NPI: 1174617831
Provider Name (Legal Business Name): KARI KUENN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI KASSIR MD

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10940 WILSHIRE BLVD SUITE 1600 - #939
LOS ANGELES CA
90024-3915
US

IV. Provider business mailing address

10940 WILSHIRE BLVD SUITE 1600 - #939
LOS ANGELES CA
90024-3915
US

V. Phone/Fax

Practice location:
  • Phone: 714-813-4022
  • Fax:
Mailing address:
  • Phone: 714-813-4022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD61173310
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD208008
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT1744
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberA55576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: