Basic Information
Provider Information
NPI: 1609898998
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LITTMANN-DAVIS
FirstName: KAREN
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: P.A.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W CENTURY BLVD
Address2: SUITE 400
City: LOS ANGELES
State: CA
PostalCode: 900455631
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 25775 MCBEAN PKWY
Address2: SUITE 215
City: VALENCIA
State: CA
PostalCode: 913553708
CountryCode: US
TelephoneNumber: 6617535464
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 09/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XPA12439CAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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