Organization
ALLAN A. SHOOK,M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN ABRAHAM SHOOK MD (PRESIDENT)
(818) 349-1262
Entity
Organization
Contact information
Practice address
18433 ROSCOE BLVD, STE. 202, NORTHRIDGE, CA 91325-4108
(818) 348-1262
(818) 349-7529
Mailing address
18433 ROSCOE BLVD, STE. 202, NORTHRIDGE, CA 91325-4108
(818) 348-1262
(818) 349-7529
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G37176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G371760
—
CA
Enumeration date
03/05/2010
Last updated
03/05/2010
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