Individual
EMILE GEORGE SHENOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(323) 566-4411
(323) 566-0390
Mailing address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(310) 678-2291
(323) 566-0390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A56273
CA
208D00000X
General Practice Physician
A56273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A562730
—
CA
05
—
00A562731
—
CA
05
—
00A562732
—
CA
Enumeration date
08/18/2006
Last updated
07/18/2013
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