Healthcare Provider Details

I. General information

NPI: 1932674165
Provider Name (Legal Business Name): KARINA IVETTE HARO EMPLOYMENT SPECIALIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S LAFAYETTE PARK PLACE 3RD FLOOR
LOS ANGELES CA
90057-5400
US

IV. Provider business mailing address

2517 CINCINNATI ST
LOS ANGELES CA
90033-3013
US

V. Phone/Fax

Practice location:
  • Phone: 213-252-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: