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Organization
SHANE MEDICAL OFFICE A PROFESSIONAL CORPORATION
Active
Organization
SHANE MEDICAL OFFICE A PROFESSIONAL CORPORATION
Active
Other names
MAYWOOD URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA PAJOUM II (OFFICE MANAGER)
(323) 773-2020
Entity
Organization
Contact information
Practice address
4316 E. SLAUSON AVE, MAYWOOD, CA 90270
(323) 773-2020
(323) 771-6069
Mailing address
P.O. BOX 413, PACIFIC PALISADES, CA 90272
(323) 773-2020
(323) 771-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48800
CA
Other
Enumeration date
02/06/2007
Last updated
08/16/2013
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