Individual
VALERY P SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7559 SANTA MONICA BLVD, 200, WEST HOLLYWOOD, CA 90046-6406
(323) 878-2523
Mailing address
7559 SANTA MONICA BLVD, 200, WEST HOLLYWOOD, CA 90046-6406
(323) 878-2523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38820
CA
207QA0505X
Adult Medicine Physician
A38820
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A38820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954586615
FEDERAL ID
CA
05
—
A388200
—
CA
Enumeration date
08/03/2005
Last updated
06/23/2010
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