Individual
DR. CHARLES MICHAEL SHUMAKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 409-7556
Mailing address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A180338
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/21/2019
Last updated
02/21/2026
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