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Organization
RAYMOND K SHELINE MD INC
Active
Organization
RAYMOND K SHELINE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND SHELINE M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW STE 260, LA JOLLA, CA 92037-1417
(858) 550-9697
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G45012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G450120
—
CA
Enumeration date
10/04/2006
Last updated
10/26/2015
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