MEDICARE: KAREN FU 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
1	207Q00000X	Family Medicine Physician	A69169	CA

General Provider Information

NPI Number	:	1528007861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN FU M.D

Provider Business Mailing Address
First Line	:	26522 LA ALAMEDA
Second Line	:	SUITE 120
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6330
Country	:	US
Telephone Number	:	949-282-1671
Fax Number	:	949-367-0518

Provider Business Practice Location Address
First Line	:	30131 TOWN CENTER DR
Second Line	:	SUITE #135
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2034
Country	:	US
Telephone Number	:	949-363-9595
Fax Number	:	949-363-7055

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	10/22/2021

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