MEDICARE: DR. MICHAEL CAL KARASON D.P.M.

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4538	CA
2	213E00000X	Podiatrist	SC0041171	PA

General Provider Information

NPI Number	:	1023042512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CAL KARASON D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 528
Second Line	:
City	:	ELIZABETHTOWN
State	:	PA
Zip	:	17022-0528
Country	:	US
Telephone Number	:	310-854-0203
Fax Number	:	717-564-1304

Provider Business Practice Location Address
First Line	:	8709 BEVERLY BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1803
Country	:	US
Telephone Number	:	310-854-0203
Fax Number	:	717-564-1304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/25/2007

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