MEDICARE: DR. SEBINA BULIC MD

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	2084N0400X	Neurology Physician	55351	TN
2	2084N0400X	Neurology Physician	24761	MS
3	2084N0400X	Neurology Physician	63728	CT
4	2084N0400X	Neurology Physician	25MA10860200	NJ
5	2084A2900X	Neurocritical Care Physician	A124093	CA
6	2084N0400X	Neurology Physician	MD467015	PA
7	2084N0400X	Neurology Physician	E-11797	AR

General Provider Information

NPI Number	:	1831326750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEBINA BULIC MD

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	323-442-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 SAN PABLO ST
Second Line	:	SUITE 3000
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-5310
Country	:	US
Telephone Number	:	323-442-5710
Fax Number	:

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

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	06/05/2026

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Directions to “ DR. SEBINA BULIC MD” Practice Location

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