Shimizu, Russ T

Shimizu, Russ T is an sole proprietor health care provider with primary practice located at 2811 Wilshire Blvd Ste 790, Santa Monica CA 90403-4805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shimizu, Russ T can be contacted via phone (310) 829-5968.

Contact Information

Primary practice address
2811 Wilshire Blvd Ste 790 Santa Monica CA 90403-4805
Phone: (310) 829-5968
Fax: (310) 453-3685
Website:
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Health care specialties

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

Profile Details

NPI number 1780688242
LBN Legal business name Shimizu, Russ T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2005
Last updated Feb 11th, 2021 - about 3 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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