Shurin, Autumn Ronai

Shurin, Autumn Ronai is an individual health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shurin, Autumn Ronai can be contacted via phone (818) 843-5111.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Fax: (405) 749-4561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A78842 California

Profile Details

NPI number 1336101799
LBN Legal business name Shurin, Autumn Ronai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336101799 NPPES
Other 00A78842 BLUE SHIELD
Other 00A880450 BLUE SHIELD
Other A78842 BLUE SHIELD
MEDICAID 00A788420 BLUE SHIELD

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