Russ T Shimizu, M.D., Inc.

LBN: Russ T Shimizu, M.D., Inc.
Russ T Shimizu, M.D., Inc. is an health care organization with primary practice located at 2811 Wilshire Blvd Ste 550 , Santa Monica CA 90403-4806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Russ T Shimizu, M.D., Inc. can be contacted via phone (310) 829-5968, or through Shimizu, Russ T via phone (310) 829-5968.

Contact Information

Primary practice address
2811 Wilshire Blvd Ste 550 Santa Monica CA 90403-4806
Phone: (310) 829-5968
Fax: (310) 453-3685
Website:
Map and Directions
Authorized official contact:
Name: Shimizu, Russ T Doctor of Medicine (MD)
Phone: (310) 829-5968

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C33305 California

Profile Details

NPI number 1912167461
LBN Legal business name Russ T Shimizu, M.D., Inc.
DBA Doing business as
Authorized official Shimizu, Russ T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Feb 11th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912167461 NPPES
California Other C33305 BLUE CROSS
California Other 00C333052 BLUE CROSS

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