Healthcare Provider Details

I. General information

NPI: 1215157284
Provider Name (Legal Business Name): KAREN SAROKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 10/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 CAMINO DE LA SIESTA SUITE 106
SAN DIEGO CA
92108-3116
US

IV. Provider business mailing address

5030 CAMINO DE LA SIESTA SUITE 106
SAN DIEGO CA
92108-3116
US

V. Phone/Fax

Practice location:
  • Phone: 619-692-4401
  • Fax:
Mailing address:
  • Phone: 619-692-4401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA105032
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: