# EMILE G. SHENOUDA MD, INC

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

## Provider details

- **NPI number:** 1780139691
- **Authorized official:** DR. EMILE GEORGE SHENOUDA M.D. (PRESIDENT)
- **Authorized official phone:** (323) 566-4411

## Contact information

- **Practice address:** 10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
- **Practice address phone:** (323) 566-4411
- **Practice address fax:** (323) 566-0390
- **Mailing address:** 10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
- **Mailing address phone:** (323) 566-4411
- **Mailing address fax:** (323) 566-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A56273 | CA | — |
| 208D00000X | General Practice Physician | A56273 | CA | Yes |

## Other

- **Enumeration date:** 08/20/2016
- **Last updated:** 08/20/2016