Provider Demographics
NPI:1427446012
Name:CALIFORNIA CENTER FOR PELVIC FLOOR DISORDERS INC
Entity type:Organization
Organization Name:CALIFORNIA CENTER FOR PELVIC FLOOR DISORDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-793-7993
Mailing Address - Street 1:2121 E COAST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1934
Mailing Address - Country:US
Mailing Address - Phone:949-797-7993
Mailing Address - Fax:
Practice Address - Street 1:2121 E COAST HWY STE 200
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1934
Practice Address - Country:US
Practice Address - Phone:949-797-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic SurgeryGroup - Single Specialty