Individual
MS. ELAINE CAROLE SHOJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
827 DEEP VALLEY DR, SUITE 102, ROLLING HILLS ESTATES, CA 90274-3647
(310) 541-8801
(310) 541-8703
Mailing address
827 DEEP VALLEY DR, SUITE 102, ROLLING HILLS ESTATES, CA 90274-3647
(310) 541-8801
(310) 541-8703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G35402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0277966
FEDERAL TAX I.D.
CA
01
—
G35402
STATE LICENSE
CA
Enumeration date
09/14/2006
Last updated
01/24/2012
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