Individual
SHIRLEY J OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2975 WILSHIRE BLVD, #401, LOS ANGELES, CA 90010-1107
(919) 358-7600
(213) 368-1658
Mailing address
2975 WILSHIRE BLVD, STE 401, LOS ANGELES, CA 90010-1112
(213) 368-1654
(213) 368-1658
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10570
CA
Other
Enumeration date
08/01/2016
Last updated
08/28/2018
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