Shaner, Roderick Emmanuel
Shaner, Roderick Emmanuel is an individual health care provider with primary practice located at 550 S Vermont Ave , Los Angeles CA 90020-1912. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Shaner, Roderick Emmanuel can be contacted via phone (213) 738-4603.Contact Information
Primary practice address
550 S Vermont Ave
Los Angeles CA 90020-1912
Phone: (213) 738-4603
Fax: (213) 386-1297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | G34438 | California |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G34438 | California |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | G34438 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | G34438 | California |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | G34438 | California |
Profile Details
NPI number | 1669560181 |
---|---|
LBN Legal business name | Shaner, Roderick Emmanuel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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