Kariya, Ena M

Kariya, Ena M is an individual health care provider with primary practice located at 722 Baker St , Costa Mesa CA 92626-4320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kariya, Ena M can be contacted via phone (714) 557-6300.

Contact Information

Primary practice address
722 Baker St Costa Mesa CA 92626-4320
Fax: (714) 966-9567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A87623 California

Profile Details

NPI number 1588655658
LBN Legal business name Kariya, Ena M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588655658 NPPES
California MEDICAID 00A876230

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