Healthcare Provider Details

I. General information

NPI: 1699752873
Provider Name (Legal Business Name): DEBRA LYNNE KARLING-ISAACS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 DUDLEY BLVD VA MCCLELLAN OPC
MCCLELLAN CA
95652-1012
US

IV. Provider business mailing address

5342 DUDLEY BLVD VA MCCLELLAN OPC
MCCLELLAN CA
95652-1012
US

V. Phone/Fax

Practice location:
  • Phone: 916-561-7491
  • Fax: 916-561-7405
Mailing address:
  • Phone: 916-561-7491
  • Fax: 916-561-7405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG075720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: