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Organization
RICHARD N. SHAW, M.D.
Active
Organization
RICHARD N. SHAW, M.D.
Active
Other names
Richand N. Shaw, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
ISIS RUIZ (MANAGER)
(818) 986-1357
Entity
Organization
Contact information
Practice address
16133 VENTURA BLVD, 400, ENCINO, CA 91436-2403
(818) 986-1357
(818) 986-3282
Mailing address
16133 VENTURA BLVD, 400, ENCINO, CA 91436
(818) 986-1357
(818) 986-3282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C33423
CA
Other
Enumeration date
03/05/2007
Last updated
11/29/2007
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