Individual
MICHAEL DAVID SHARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8631 W 3RD ST STE 635E, LOS ANGELES, CA 90048-5994
(310) 248-8245
(310) 248-8249
Mailing address
8631 W 3RD ST STE 635E, LOS ANGELES, CA 90048-5994
(310) 248-8245
(310) 248-8249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127089
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A127089
CA
Other
Enumeration date
03/20/2012
Last updated
04/24/2019
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