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General NPI Number Information
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NPI Number | 1649290248
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Entity Type | Individual
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Provider Name | KAREN LYNN RECKAMP MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 1500 E. DUARTE RD
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City | DUARTE
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State | CA
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Zip | 91010
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Country | US
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Telephone | 626-359-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 BEVERLY BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 626-775-3514
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Fax | 626-218-5310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A75041
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A75041
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License Number State | CA
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