Roderick Emmanuel Shaner in Los Angeles - Addiction Medicine
Roderick Emmanuel Shaner - NPI 1669560181
Roderick Emmanuel Shaner is a Addiction Medicine in Los Angeles, California. Roderick Emmanuel Shaner practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Roderick Emmanuel Shaner is 1669560181. The last update date is 2007-07-08.
Roderick Emmanuel Shaner's current location address is 550 S Vermont Ave, Los Angeles, California. You can contact this provider via phone number 2137384603 and fax number 2133861297. The mailing address for Roderick Emmanuel Shaner is 550 S Vermont Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Emmanuel Shaner |
|---|---|
| Address | 550 S Vermont Ave, Los Angeles, California |
| Phone Number | 2137384603 |
| Fax Number | 2133861297 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669560181 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 S Vermont Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900201912 |
| Phone Number | 2137384603 |
| Fax Number | 2133861297 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | G34438 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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What is the unique 10-digit identification code issued to Roderick Emmanuel Shaner by the Centers for Medicare & Medicaid Services?
The Roderick Emmanuel Shaner has been assigned the NPI (National Provider Identifier) 1669560181 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Roderick Emmanuel Shaner?
The Roderick Emmanuel Shaner is situated at 550 S Vermont Ave, in the city of Los Angeles, state of CA, with the zip code 900201912.
What is Roderick Emmanuel Shaner's area of expertise and its corresponding taxonomy classification?
The Roderick Emmanuel Shaner's field of specialization is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their areas of practice.
When was the Roderick Emmanuel Shaner's 1669560181 issued?
The Roderick Emmanuel Shaner's 1669560181 was issued on 2006-10-10.
When was the information regarding Roderick Emmanuel Shaner most recently updated?
The details pertaining to the Roderick Emmanuel Shaner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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