Individual
SAMUEL MARK SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 S LAKE AVE, SUITE 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 796-8247
Mailing address
225 S LAKE AVE, SUITE 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 796-8247
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
G43276
CA
Other
Enumeration date
06/16/2009
Last updated
09/26/2023
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