Basic Information
| Provider Information | |||||||||
| NPI: | 1336459692 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KARL J GEBHARD MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26131 MARGUERITE PKWY | ||||||||
| Address2: | SUITE A | ||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926923161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495828584 | ||||||||
| FaxNumber: | 9495822943 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 CORPORATE DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LADERA RANCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926941152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493649112 | ||||||||
| FaxNumber: | 9495822943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2010 | ||||||||
| LastUpdateDate: | 01/20/2012 | ||||||||
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| AuthorizedOfficialLastName: | GEBHARD | ||||||||
| AuthorizedOfficialFirstName: | KARL | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9493649112 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G80567 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.