Provider Demographics
NPI:1558244822
Name:BOURIENE, KARINA VIVIANNA
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:VIVIANNA
Last Name:BOURIENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:VIVIANNA
Other - Last Name:BOURENANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11741 E TELEGRAPH ROAD
Mailing Address - Street 2:SUITE #A-D, #G
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670
Mailing Address - Country:US
Mailing Address - Phone:562-949-8455
Mailing Address - Fax:
Practice Address - Street 1:11741 E TELEGRAPH ROAD
Practice Address - Street 2:SUITE #A-D, #G
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670
Practice Address - Country:US
Practice Address - Phone:562-949-8455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program