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Individual

KARIN L. FU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
39000 BOB HOPE DR, EISENHOWER IMAGING CENTER, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 674-3852
Mailing address
PO BOX 910329, SAN DIEGO, CA 92191-0329
(858) 564-1400
(858) 564-1500

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A62299
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A622990
BLUE SHIELD OF CA
CA
05
00A622990
CA
Enumeration date
05/12/2006
Last updated
04/20/2009
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