MEDICARE: KARI KUENN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD61173310	WA
2	208000000X	Pediatrics Physician	MD208008	OR
3	208000000X	Pediatrics Physician	T1744	TX
4	2080P0203X	Pediatric Critical Care Medicine Physician	A55576	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174617831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI KUENN MD

Provider Business Mailing Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 1600 - #939
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	714-813-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 1600 - #939
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	714-813-4022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	10/18/2024

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Directions to “ KARI KUENN MD” Practice Location

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