Individual
BRETT I. SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(888) 778-5000
Mailing address
2009 FAYMONT AVE, MANHATTAN BEACH, CA 90266-4150
(617) 686-7177
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A120811
CA
Other
Enumeration date
02/27/2007
Last updated
07/12/2024
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