Healthcare Provider Details

I. General information

NPI: 1922097054
Provider Name (Legal Business Name): JOSEPH ANTHONY KARAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 ROSCOE BLVD
NORTHRIDGE CA
91325-4105
US

IV. Provider business mailing address

PO BOX 3776
MANHATTAN BEACH CA
90266-1776
US

V. Phone/Fax

Practice location:
  • Phone: 818-825-8500
  • Fax:
Mailing address:
  • Phone: 424-206-1422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG88497
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMA67676
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD044438E
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberG88497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: