MEDICARE: DR. KARINA SHULMAN M.D.

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	2084P0800X	Psychiatry Physician	A72535	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275631681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA SHULMAN M.D.

Provider Business Mailing Address
First Line	:	10605 BALBOA BLVD
Second Line	:	100
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-6342
Country	:	US
Telephone Number	:	818-832-2400
Fax Number	:	818-832-2567

Provider Business Practice Location Address
First Line	:	10605 BALBOA BLVD
Second Line	:	100
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-6342
Country	:	US
Telephone Number	:	818-832-2400
Fax Number	:	818-832-2567

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/11/2023

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