Organization
EMILE G. SHENOUDA MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILE GEORGE SHENOUDA M.D. (PRESIDENT)
(323) 566-4411
Entity
Organization
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
(323) 566-4411
(323) 566-0390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A56273
CA
208D00000X
General Practice Physician
Primary
A56273
CA
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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