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Organization

RONNEY S SHANTOUF MD INC

Active
Other names
RONNEY S. SHANTOUF, M.D., INC.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONNEY SAMI SHANTOUF M.D. (OWNER/PHYSICIAN)
(310) 431-8099
Entity
Organization

Contact information

Practice address
207 S SANTA ANITA ST STE P15, SAN GABRIEL, CA 91776-1165
(626) 576-1800
(626) 576-1808
Mailing address
215 W 5TH ST APT 903, LOS ANGELES, CA 90013-2576

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A103399
CA

Other

Enumeration date
05/24/2015
Last updated
05/24/2015
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