Healthcare Provider Details

I. General information

NPI: 1205520236
Provider Name (Legal Business Name): NATALIE NEWELL KARLINSEY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24040 CAMINO DEL AVION STE C
MONARCH BEACH CA
92629-4005
US

IV. Provider business mailing address

24040 CAMINO DEL AVION STE C
MONARCH BEACH CA
92629-4005
US

V. Phone/Fax

Practice location:
  • Phone: 949-493-1600
  • Fax:
Mailing address:
  • Phone: 949-493-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT35740TLG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: