MEDICARE: MS. SHAULA HIJAZI N.P.

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	363LW0102X	Women's Health Nurse Practitioner	NPF2235 & RN288274	CA

General Provider Information

NPI Number	:	1255470324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAULA HIJAZI N.P.

Provider Business Mailing Address
First Line	:	PO BOX 459
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93116-0459
Country	:	US
Telephone Number	:	805-563-5003
Fax Number	:	805-563-3212

Provider Business Practice Location Address
First Line	:	1805 E CABRILLO BLVD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2884
Country	:	US
Telephone Number	:	805-563-5003
Fax Number	:	805-563-3212

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	10/01/2017

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