# EXPRESSCARE MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144498890
- **Authorized official:** DR. SAMIR SHAHIN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 641-8111

## Contact information

- **Practice address:** 8930 S SEPULVEDA BLVD, SUITE 200, LOS ANGELES, CA 90045-3606
- **Practice address phone:** (310) 641-8111
- **Practice address fax:** (310) 337-7274
- **Mailing address:** 8930 S SEPULVEDA BLVD, SUITE 200, LOS ANGELES, CA 90045-3606
- **Mailing address phone:** (310) 641-8111
- **Mailing address fax:** (310) 337-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | G53276 | CA | — |
| 208D00000X | General Practice Physician | G53276 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 11/13/2014