Healthcare Provider Details

I. General information

NPI: 1386731347
Provider Name (Legal Business Name): KARL LIMEWOOD EVELYN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 09/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 5TH AVE
SAN DIEGO CA
92103-2106
US

IV. Provider business mailing address

23811 WASHINGTON AVE. C110 #340
MURRIETA CA
92562-2277
US

V. Phone/Fax

Practice location:
  • Phone: 619-260-7022
  • Fax: 619-260-7310
Mailing address:
  • Phone: 951-677-7205
  • Fax: 951-677-7205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG33860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: