Organization
SHORE HIP AND JOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT SHORE MD (PRESIDENT AND CEO)
(617) 686-7177
Entity
Organization
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 773-3427
Mailing address
8605 SANTA MONICA BLVD, PMB 389286, WEST HOLLYWOOD, CA 90069-4109
(617) 686-7177
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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