Individual
DR. ALAN SHIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18167 CHARDON CIRCLE, ENCINO, CA 91316
(818) 342-9973
(818) 342-9976
Mailing address
18167 CHARDON CIRCLE, ENCINO, CA 91316
(818) 342-9973
(818) 342-9976
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G30423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304230
—
CA
01
—
060047086
RAILROAD MEDICARE
CA
01
—
95354702891403B003
TRICARE WEST REGION
CA
01
—
ZZZ94648Z
BLUE SHIELD
CA
Enumeration date
08/11/2005
Last updated
04/03/2023
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