Healthcare Provider Details
I. General information
NPI: 1104985712
Provider Name (Legal Business Name): KAREN L. DURINZI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/08/2006
Last Update Date: 12/03/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3678 AVENIDA DEL SOL
STUDIO CITY CA
91604-4020
US
IV. Provider business mailing address
3678 AVENIDA DEL SOL
STUDIO CITY CA
91604-4020
US
V. Phone/Fax
- Phone: 182-167-3758
- Fax:
- Phone: 818-216-7375
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | G73474 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: