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NPI Code Detail

MEDICARE: DR. GEORGE M. KARROUM M.D.

MEDICARE: DR. GEORGE M. KARROUM M.D.
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
1207P00000XEmergency Medicine PhysicianA34648CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A346480OTHERCACALOPTIMA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300A346480OTHERCABLUE SHIELD
4050663CA84673OTHERCALA COMMUNITY TRAILBLAZER
5A34648OTHERCABLUE CROSS

General Provider Information

NPI Number : 1447205919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE M. KARROUM M.D.
Provider Business Mailing Address
First Line : 2550 NORTH HOLLYWOOD WAY
Second Line : SUITE 209
City : BURBANK
State : CA
Zip : 91505-5019
Country : US
Telephone Number : 818-557-0135
Fax Number : 818-557-1394
Provider Business Practice Location Address
First Line : 4081 EAST OLYMPIC BOULEVARD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-3330
Country : US
Telephone Number : 323-881-2666
Fax Number : 323-267-4530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 07/09/2007

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