Healthcare Provider Details

I. General information

NPI: 1124262282
Provider Name (Legal Business Name): ILYAS S KARAALP MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30351 CAMINO PORVENIR
RANCHO PALOS VERDES CA
90275-4532
US

IV. Provider business mailing address

30351 CAMINO PORVENIR
RANCHO PALOS VERDES CA
90275-4532
US

V. Phone/Fax

Practice location:
  • Phone: 714-739-5959
  • Fax: 714-739-5974
Mailing address:
  • Phone: 714-739-5959
  • Fax: 714-739-5974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ILYAS SOMER KARAALP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-739-5959