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Organization
RANDALL G. SHUE D.O. INC.
Active
Organization
RANDALL G. SHUE D.O. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL G. SHUE D.O. (OWNER)
(323) 268-3491
Entity
Organization
Contact information
Practice address
4055 E OLYMPIC BLVD, #210, LOS ANGELES, CA 90023-3345
(323) 268-3491
Mailing address
4055 E OLYMPIC BLVD, #210, LOS ANGELES, CA 90023-3345
(323) 268-3491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX5142
—
CA
Enumeration date
04/25/2008
Last updated
04/25/2008
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