Individual
MARINA SHUKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365B, LOS ANGELES, CA 90095-8344
(310) 825-8061
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
95029168
CA
363L00000X
Nurse Practitioner
Primary
95029168
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95029168
CA
Other
Enumeration date
04/22/2024
Last updated
01/30/2026
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