Basic Information
Provider Information
NPI: 1821178096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOBLETT
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 CITY DRIVE S.
Address2: BUILDING 56 SUITE 800
City: ORANGE
State: CA
PostalCode: 928683201
CountryCode: US
TelephoneNumber: 7144568564
FaxNumber: 7144567180
Practice Location
Address1: 200 S. MANCHESTER AVE
Address2: SUITE 600
City: ORANGE
State: CA
PostalCode: 928683217
CountryCode: US
TelephoneNumber: 7144562911
FaxNumber: 7144568383
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 10/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X000000G76595CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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