Shue, Randall G
Shue, Randall G is an individual health care provider with primary practice located at 4055 E Olympic Blvd Ste 210, Los Angeles CA 90023-3345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shue, Randall G can be contacted via phone (323) 268-3491.Contact Information
Primary practice address
4055 E Olympic Blvd Ste 210
Los Angeles CA 90023-3345
Phone: (323) 268-3491
Fax: (323) 264-8406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5142 | California |
Profile Details
| NPI number | 1679576730 |
|---|---|
| LBN Legal business name | Shue, Randall G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679576730 | NPPES |
| California | MEDICAID | 00AX51420 | |
| California | MEDICAID | 00AX51422 |
Popular Providers
-
Sanchez, Daniel
201 S. Alvarado Street Suite 717, Los Angeles CA 90057 -
Nguyen, Anh Huu
2411 N Broadway , Los Angeles CA 90031-2218 -
Arano, Silverio
1300 N Vermont Ave Suite 508, Los Angeles CA 90027-6005 -
Treinen, Angela
4815 Valley Blvd Ste C , Los Angeles CA 90032-3300 -
Schawlb, Suzanne E
303 Loma Dr , Los Angeles CA 90017-1103 -
Fenton, Drew Evan
1730 W Olympic Blvd Suite 100, Ground Floor, Los Angeles CA 90015-1019 -
Mccollister, Teresia
2411 N Broadway , Los Angeles CA 90031-2218 -
Brown, Kevin A
3631 Crenshaw Blvd #110, Los Angeles CA 90016-4869