Organization
KAREN L . VAUSE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN L VAUSE M.D. (PRESIDENT)
(818) 995-0640
Entity
Organization
Contact information
Practice address
16677 CALNEVA DR, ENCINO, CA 91436-4167
(818) 995-0640
(818) 881-7566
Mailing address
PO BOX 261791, ENCINO, CA 91426-1791
(818) 995-0640
(818) 881-7566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22527
MEDICARE GROUP PTAN
CA
Enumeration date
09/06/2007
Last updated
06/28/2013
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