Individual
RODERICK EMMANUEL SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-4603
(213) 386-1297
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-4603
(213) 386-1297
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
G34438
CA
2084P0800X
Psychiatry Physician
G34438
CA
2084P0802X
Addiction Psychiatry Physician
G34438
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G34438
CA
2084P0805X
Geriatric Psychiatry Physician
Primary
G34438
CA
Other
Enumeration date
10/10/2006
Last updated
09/11/2025
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