Provider Demographics
NPI:1144478306
Name:AU, KAREN MAE (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MAE
Last Name:AU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 VETERAN AVE
Mailing Address - Street 2:REHAB BLDG 32-59
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2704
Mailing Address - Country:US
Mailing Address - Phone:310-825-2448
Mailing Address - Fax:310-794-6553
Practice Address - Street 1:1000 VETERAN AVE
Practice Address - Street 2:REHAB BLDG 32-59
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2704
Practice Address - Country:US
Practice Address - Phone:310-825-2448
Practice Address - Fax:310-794-6553
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2021-12-08
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Provider Licenses
StateLicense IDTaxonomies
CAA100616207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABX116ZMedicare PIN