Individual
DR. PETER REES SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Mailing address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G48292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482920
—
CA
Enumeration date
11/03/2006
Last updated
07/09/2007
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