Provider Demographics
NPI:1992785877
Name:FAIN-KARPUS, MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:FAIN-KARPUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20251 VENTURA BLVD.
Mailing Address - Street 2:STE.# A
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2564
Mailing Address - Country:US
Mailing Address - Phone:818-883-9000
Mailing Address - Fax:818-883-2300
Practice Address - Street 1:20251 VENTURA BLVD.
Practice Address - Street 2:STE.# A
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2564
Practice Address - Country:US
Practice Address - Phone:818-883-9000
Practice Address - Fax:818-883-2300
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA881692080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A881690Medicaid