Individual
KATHY KARAMLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
361 HOSPITAL RD STE 428, NEWPORT BEACH, CA 92663-3525
(949) 631-6500
(949) 631-9700
Mailing address
PO BOX 5688, IRVINE, CA 92616-5688
(949) 631-6500
(949) 631-9700
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A72397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A723970
MEDI-CAL
CA
01
—
W21789
MEDICARE GROUP PTAN
CA
01
—
WA72397C
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
07/18/2006
Last updated
03/23/2021
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