Organization · Type 2 NPI

Randall G. Shue D.o. Inc.

Primary Care Clinic/Center · Los Angeles, CA

NPI number 1013265214 Active

Practice location

4055 E Olympic Blvd, Suite 210
Los Angeles, CA 90023-3345

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X20A5142 (CA)

Primary Care Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1013265214

Randall G. Shue D.o. Inc.'s National Provider Identifier is 1013265214, issued on Aug 17, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 17, 2012.