Individual
DR. ALAN E SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8635 W 3RD ST, SUITE 765, LOS ANGELES, CA 90048-6101
(310) 854-7717
Mailing address
8635 W 3RD ST, SUITE 765, LOS ANGELES, CA 90048-6101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G11559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G115590
—
CA
05
—
00G115591
—
CA
01
—
G11559
MEDICAL LICENSE
CA
Enumeration date
07/12/2006
Last updated
04/18/2008
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