MEDICARE: DR. KAREL ROUTHIER 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	2084P0800X	Psychiatry Physician	A154672	CA

General Provider Information

NPI Number	:	1700283751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREL ROUTHIER M.D.

Provider Business Mailing Address
First Line	:	589 TAHOE KEYS BLVD STE E8
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-3361
Country	:	US
Telephone Number	:	530-287-6391
Fax Number	:	530-240-4311

Provider Business Practice Location Address
First Line	:	589 TAHOE KEYS BLVD STE E8
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-3361
Country	:	US
Telephone Number	:	530-287-6391
Fax Number	:	530-240-4311

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

Provider Enumeration Date	:	11/19/2014
Last Update Date	:	02/09/2026

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