Individual
DR. RUSS T SHIMIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2811 WILSHIRE BLVD, STE 790, SANTA MONICA, CA 90403-4805
(310) 829-5968
(310) 453-3685
Mailing address
2811 WILSHIRE BLVD STE 550, SANTA MONICA, CA 90403-4806
(310) 323-0026
(310) 453-3685
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C33305
CA
Other
Enumeration date
06/11/2005
Last updated
02/11/2021
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