Individual
CHRISTINE SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 20TH ST STE 570, SANTA MONICA, CA 90404-2118
(310) 315-0171
(310) 828-6647
Mailing address
1301 20TH ST STE 570, SANTA MONICA, CA 90404-2118
(310) 315-0171
(310) 828-6647
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A147396
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2013
Last updated
04/11/2018
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