MEDICARE: KARIN ILA HARP X 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	207N00000X	Dermatology Physician	A107627	CA

General Provider Information

NPI Number	:	1518923374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN ILA HARP X MD

Provider Business Mailing Address
First Line	:	31731 DUNRAVEN CT
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4516
Country	:	US
Telephone Number	:	818-661-8209
Fax Number	:

Provider Business Practice Location Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 112
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4031
Country	:	US
Telephone Number	:	818-889-2739
Fax Number	:	818-889-2747

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	07/24/2014

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