Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A150760 | CA |
Y | 207Q00000X | Family Doctor | A150760 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | A150760 | CA |
N | 207QA0505X | Family Doctor - Adult Medicine | A150760 | CA |
NPI | 1861842809 |
---|---|
Provider Name | Karen Zohar Weinbaum |
First Address | Martinez, CA 94553-3156 |
Second Address | Reedley, CA 93654-2113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2016 |
Last Update Date | 11/12/2020 |