Individual
KAREN ANN MIOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G69990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G699900
MEDI-CAL
CA
Enumeration date
07/08/2006
Last updated
07/18/2024
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