Organization
ROBERT H SHAW M D A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SHAW M.D. (PRESIDENT)
(310) 273-2686
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD, STE 104, BEVERLY HILLS, CA 90211-1838
(310) 273-2686
(310) 385-9122
Mailing address
9001 WILSHIRE BLVD, STE 104, BEVERLY HILLS, CA 90211-1838
(310) 273-2686
(310) 385-9122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G94550
—
CA
Enumeration date
03/09/2010
Last updated
03/15/2010
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