Philip S Shore M D INC
NPI #1568481315 in Northridge, California
Provider Information
- NPI Number
- 1568481315
- Entity Type
- Organization
- Organization Name
- Philip S Shore M D INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHILIP S. SHORE, M.D. INC.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 18546 ROSCOE BLVD
- Address 2
- SUITE 302
- City
- Northridge
- State
- California
- ZIP Code
- 91324-4663
- Phone
- (818) 886-1100
Authorized Official
- Name
- PHILIP S SHORE, MD
- Title
- MD
- Phone
- (818) 886-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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