Individual
SHELLEY M SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095
(310) 825-8061
(310) 268-4260
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-8061
(310) 268-4260
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G40699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G406990
—
CA
Enumeration date
07/20/2006
Last updated
03/09/2010
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