Individual provider · Type 1 NPI

Iman Conner Shull

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1760131106 Active

Practice location

4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6093

Call (714) 861-9021 Map

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X20A22002 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760131106

Iman Conner Shull's National Provider Identifier is 1760131106, issued on Mar 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2025.