Randall G. Shue DO Inc
Randall G. Shue DO Inc provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4055 E Olympic Blvd #210Los Angeles, CA 90023-3345 Not confirmed with CMS for 18 years — call before visiting
Phone: (323) 268-3491
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 20A5142 (CA) |
|---|
Record details
| NPI number | 1770758187 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Shue — Owner · (323) 268-3491 |
| NPI enumerated | April 25, 2008 |
| Last updated in NPPES | April 25, 2008 |
| Mailing address | 4055 E Olympic Blvd, 210, Los Angeles, CA 90023-3345 |
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