Individual
AUTUMN RONAI SHURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 843-5111
(405) 749-4561
Mailing address
13338 ZANJA ST, LOS ANGELES, CA 90066-7501
(323) 363-1349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A78842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A78842
BLUE SHIELD
—
05
—
00A788420
—
CA
01
—
00A880450
MEDI CAL
—
01
—
A78842
BLUE CROSS
—
Enumeration date
04/03/2006
Last updated
07/08/2007
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