MEDICARE: MS. JULIE T KARIC LCSW

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	1041C0700X	Clinical Social Worker	LCS9987	CA

General Provider Information

NPI Number	:	1639213069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE T KARIC LCSW

Provider Business Mailing Address
First Line	:	132 N NORTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3913
Country	:	US
Telephone Number	:	323-574-2480
Fax Number	:	323-957-2233

Provider Business Practice Location Address
First Line	:	6505 WILSHIRE BLVD
Second Line	:	SUITE 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4917
Country	:	US
Telephone Number	:	323-761-8770
Fax Number	:	323-761-8768

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

Provider Enumeration Date	:	02/18/2007
Last Update Date	:	07/08/2007

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