Provider Demographics
NPI:1053622209
Name:BISHOP KARAS COMMUNITY CLINIC
Entity type:Organization
Organization Name:BISHOP KARAS COMMUNITY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:NAGUIB
Authorized Official - Middle Name:SHEHATA
Authorized Official - Last Name:BEBAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-260-0746
Mailing Address - Street 1:18021 SKY PARK CIRCLE BLDG.68
Mailing Address - Street 2:STE. H
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614
Mailing Address - Country:US
Mailing Address - Phone:949-260-0746
Mailing Address - Fax:949-263-8683
Practice Address - Street 1:18021 SKY PARK CIR BLDG 68
Practice Address - Street 2:STE. H
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6523
Practice Address - Country:US
Practice Address - Phone:949-260-0746
Practice Address - Fax:949-263-8683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46388261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care