Individual
SYLVIA J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3621 MARTIN LUTHER KING JR BLVD, #6, LYNWOOD, CA 90262-3512
(310) 537-6397
(310) 537-7558
Mailing address
3633 MARTIN LUTHER KING JR BLVD, #2, LYNWOOD, CA 90262
(310) 537-6397
(310) 537-7550
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G50246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G502461
—
CA
Enumeration date
08/10/2006
Last updated
09/25/2012
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