Healthcare Provider Details

I. General information

NPI: 1659322469
Provider Name (Legal Business Name): KAREN ANN FILKINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23441 MADISON ST BLDG.8, SUITE 290
TORRANCE CA
90505-4725
US

IV. Provider business mailing address

1184 WHITEHEART CT
MARCO ISLAND FL
34145-5016
US

V. Phone/Fax

Practice location:
  • Phone: 310-375-7171
  • Fax: 310-375-7192
Mailing address:
  • Phone: 310-748-2681
  • Fax: 310-375-7192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG84052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: