Individual
ANDREW SHUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404-2067
(310) 998-9118
Mailing address
2336 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404-2067
(310) 998-9118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A118080
CA
208M00000X
Hospitalist Physician
A118080
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2011
Last updated
02/23/2017
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