| Mr Vitaliy Shaulov, MD | |
|
25411 Cabot Rd, Suite 116, Laguna Hills, CA 92653-5520 | |
| (949) 309-7903 | |
| (949) 716-5243 |
| Full Name | Mr Vitaliy Shaulov |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 42 Years |
| Location | 25411 Cabot Rd, Laguna Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699705590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A77592 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Psychiatry A Medical Corporation | 4587057286 | 7 |
| Entity Name | Vitaliy Shaulov, Md, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720268980 PECOS PAC ID: 2961587159 Enrollment ID: O20080312000371 |
| Entity Name | Integrative Psychiatry A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720268980 PECOS PAC ID: 4587057286 Enrollment ID: O20220201001918 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vitaliy Shaulov, MD 28895 El Apajo, Laguna Niguel, CA 92677-7616 Ph: (949) 309-7903 | Mr Vitaliy Shaulov, MD 25411 Cabot Rd, Suite 116, Laguna Hills, CA 92653-5520 Ph: (949) 309-7903 |
Mr. Irwin Ira Rosenfeld, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23121 Plaza Pointe Dr, #150, Laguna Hills, CA 92653 Phone: 949-837-7071 Fax: 949-837-5002 | |
Dr. Keeban Caleb Nam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 23141 Moulton Pkwy Ste 213, Laguna Hills, CA 92653 Phone: 949-258-3741 Fax: 949-258-3742 | |
Phillip Thomas Cohen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 25401 Cabot Rd Ste 102, Laguna Hills, CA 92653 Phone: 949-951-3003 Fax: 949-951-8586 | |
Michael W Shen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 23961 Calle De La Magdalena, Suite 317, Laguna Hills, CA 92653 Phone: 949-837-1133 Fax: 949-581-9189 | |
Dr. Caroline G Choan, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653 Phone: 949-837-1130 Fax: 949-587-1068 | |
Anthony Bui, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 23141 Moulton Pkwy Ste 213, Laguna Hills, CA 92653 Phone: 949-258-3741 Fax: 949-258-3742 | |
Dr. Esther Park, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23141 Moulton Pkwy, Suite 213, Laguna Hills, CA 92653 Phone: 949-258-3741 Fax: 949-258-3742 |