Shane Medical Office a Professional Corporation

NPI #1548309560 in Maywood, California

Provider Information

NPI Number: 1548309560
Entity Type: Organization
Organization Name: Shane Medical Office a Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Feb 6, 2007
Last Updated: Aug 16, 2013

Practice Location

Address: 4316 E. SLAUSON AVE
City: Maywood
State: California
ZIP Code: 90270
Phone: (323) 773-2020

Authorized Official

Name: MRS. TARA PAJOUM II
Title: OFFICE MANAGER
Phone: (323) 773-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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