Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G46710 | CA |
NPI | 1003913245 |
---|---|
Provider Name | Dr. Karen Sue Kornreich |
First Address | Beverly Hills, CA 90211 |
Second Address | Beverly Hills, CA 90211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 14/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A92670 | (02) |