Individual
BRIAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(310) 283-7038
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28709
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2020
Last updated
01/29/2026
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