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General NPI Number Information
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NPI Number | 1720164536
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Entity Type | Individual
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Provider Name | KARNA GENDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 130 LA CASA VIA BUILDING 2, SUITE 209
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3045
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Country | US
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Telephone | 925-935-6252
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Fax | 925-930-0942
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Provider Business Mailing Address
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Address Line | 370 N WIGET LN STE 210
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2452
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Country | US
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Telephone | 925-935-6252
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Fax | 925-935-7611
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD00035775
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD00035775
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A89530
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License Number State | CA
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