Organization
ALAN SHIENER MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN SHIENER M.D. (PRESIDENT)
(818) 501-5686
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 415, SHERMAN OAKS, CA 91403-1827
(818) 501-5686
(818) 501-8509
Mailing address
4955 VAN NUYS BLVD, SUITE 415, SHERMAN OAKS, CA 91403-1801
(818) 501-5686
(818) 501-8509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048140
—
CA
01
—
ZZZ946482
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/27/2006
Last updated
09/14/2012
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