MEDICARE: KAREN ELIANA STRAEHLEY PA-C

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	363A00000X	Physician Assistant	PA196221	OR
2	363A00000X	Physician Assistant	58264	CA

General Provider Information

NPI Number	:	1275027849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ELIANA STRAEHLEY PA-C

Provider Business Mailing Address
First Line	:	12291 HERITAGE SPRINGS DR APT 308
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-6938
Country	:	US
Telephone Number	:	971-719-5938
Fax Number	:

Provider Business Practice Location Address
First Line	:	11436 GARVEY AVE STE A&B
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-3304
Country	:	US
Telephone Number	:	626-800-1200
Fax Number	:

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

Provider Enumeration Date	:	06/18/2018
Last Update Date	:	06/06/2022

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