Healthcare Provider Details
I. General information
NPI: 1477552016
Provider Name (Legal Business Name): DAVID STEVEN KARLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/15/2005
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
431 S BATAVIA ST STE. 103
ORANGE CA
92868-3936
US
IV. Provider business mailing address
PO BOX 14005
ORANGE CA
92863-1405
US
V. Phone/Fax
- Phone: 714-538-6731
- Fax: 714-771-8369
- Phone: 714-571-5000
- Fax: 714-571-5055
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | G83944 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 29810 |
| License Number State | AZ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | G83944 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: