Organization
RAYMOND A. SHOFLER, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ALLEN SHOFER M.D. (OWNER)
(818) 842-9125
Entity
Organization
Contact information
Practice address
2601 W ALAMEDA AVE, SUITE 314, BURBANK, CA 91505-4800
(818) 842-9125
(818) 842-9743
Mailing address
2601 W ALAMEDA AVE, SUITE 314, BURBANK, CA 91505-4800
(818) 842-9125
(818) 842-9743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G43420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G434200
—
CA
Enumeration date
05/21/2007
Last updated
08/22/2020
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