Individual
CHERIE A SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91328
(818) 885-8500
Mailing address
PO BOX 12410, WESTMINSTER, CA 92685-1241
(866) 234-5107
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA13947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13947
—
CA
Enumeration date
04/26/2006
Last updated
09/16/2010
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