Healthcare Provider Details

I. General information

NPI: 1205450418
Provider Name (Legal Business Name): KARMA DOCTORS & ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17853 SANTIAGO BLVD STE 107
VILLA PARK CA
92861-4199
US

IV. Provider business mailing address

17853 SANTIAGO BLVD STE 107
VILLA PARK CA
92861-4199
US

V. Phone/Fax

Practice location:
  • Phone: 951-529-5518
  • Fax:
Mailing address:
  • Phone: 951-529-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJAGOPAL KEERTHY SUNDER
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 951-529-5518