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Individual

MR. ALLAN ABRAHAM SHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18433 ROSCOE BLVD, SUITE 202, NORTHRIDGE, CA 91325-4108
(818) 349-1262
(818) 349-7529
Mailing address
18433 ROSCOE BLVD, STE. 202, NORTHRIDGE, CA 91325-4130
(818) 349-1262
(818) 349-7529

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37176
CA
207R00000X
Internal Medicine Physician
G37176
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G371760
CA
Enumeration date
02/23/2006
Last updated
07/01/2014
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