Individual
KAREN L REUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24401 CALLE DE LA LOUISA, SUITE #200, LAGUNA HILLS, CA 92653-3623
(949) 452-7200
Mailing address
27762 ANTONIO PKWY, L1-418, LADERA RANCH, CA 92694-1140
(949) 922-9410
(949) 472-4371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G74593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G745930
BLUE SHIELD
CA
05
—
00G745930
—
CA
Enumeration date
05/15/2006
Last updated
02/28/2012
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