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NPI Code Detail

MEDICARE: KAREN C SHUM, DPM INC

MEDICARE: KAREN C SHUM, DPM INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristE5034CA

General Provider Information

NPI Number : 1730544578
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAREN C SHUM, DPM INC
Provider Business Mailing Address
First Line : 3330 LOMITA BLVD
Second Line : WEST TOWER 5TH FLOOR
City : TORRANCE
State : CA
Zip : 90505-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3330 LOMITA BLVD
Second Line : WEST TOWER 5TH FLOOR
City : TORRANCE
State : CA
Zip : 90505-5002
Country : US
Telephone Number : 310-517-4736
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. KAREN C SHUM
Credential : DPM
Telephone Number : 310-517-4736
Provider Enumeration Date : 12/21/2015
Last Update Date : 12/21/2015

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