Healthcare Provider Details

I. General information

NPI: 1063355105
Provider Name (Legal Business Name): KAREN TAWK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S # ZOT5386 UC IRVINE DEPT OF OTOLARYNGOLOGY
ORANGE CA
92868-3201
US

IV. Provider business mailing address

22611 ALBARES
MISSION VIEJO CA
92691-1402
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-5753
  • Fax:
Mailing address:
  • Phone: 949-316-7862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: