Healthcare Provider Details

I. General information

NPI: 1881786390
Provider Name (Legal Business Name): CHRISTINE LYNN SHULTZ BRAID D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTY LYNN SHULTZ D.O.

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 GREENBACK LN FL 3
CITRUS HEIGHTS CA
95621-5637
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-3540
  • Fax: 916-536-2455
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A8955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: