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Individual

ANDREW SHANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11301 WILSHIRE BLVD, 116A, LOS ANGELES, CA 90073-1003
(310) 268-3178
Mailing address
3636 SURFWOOD DR, MALIBU, CA 90265-5653
(310) 268-3178

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G47792
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G47792
CA
2084P0805X
Geriatric Psychiatry Physician
G47792
CA

Other

Enumeration date
05/18/2006
Last updated
07/16/2007
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