Individual
SHAMEYA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
844 PICO BLVD, SANTA MONICA, CA 90405-1325
(310) 314-6200
Mailing address
1723 W 126TH ST, LOS ANGELES, CA 90047-5257
(213) 589-4148
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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