Randall G Shue (NPI# 1679576730, PAC ID# 1658322557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679576730 |
| PAC ID by PECOS | 1658322557 |
| Professional Enrollment ID | I20050316001003 |
| Full Name | Randall G Shue |
| Address |
4055 E Olympic Blvd Suite 210 Los Angeles CA 90023-3345 |
| Gender | M |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4055 E Olympic Blvd, Suite 210, Los Angeles, CA 90023-3345 | ||
| 11850 E Firestone Blvd, Suite 1, Norwalk, CA 90650-2979 |
| Street Address |
4055 E OLYMPIC BLVD SUITE 210 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90023-3345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misha Lanzat | Podiatry | 3743 Whitter Blvd, Los Angeles, CA 90023 | |
| Geronimo G Rodriguez | Obstetrics/gynecology | 2705 Whittier Blvd, Los Angeles, CA 90023-1441 | |
| Victor M Pedroza | Internal Medicine | 2705 Whittier Blvd, Los Angeles, CA 90023-1441 | |
| Maria L Deleon | Family Medicine | 2933 Whittier Blvd, Los Angeles, CA 90023-1528 | |
| Pedram Bina | Oral Surgery | Bina Korouri Sage Dental Corporation | 3000 Whittier Blvd, Los Angeles, CA 90023-1637 |
| Parham Sage | Oral Surgery | Bina Korouri Sage Dental Corporation | 3000 Whittier Blvd, Los Angeles, CA 90023-1637 |
| Amir Korouri | Oral Surgery | Bina Korouri Sage Dental Corporation | 3000 Whittier Blvd, Los Angeles, CA 90023-1637 |
| Juan I Sam | Internal Medicine | Angelus Medical Clinic Multi Specialty Group Inc | 3444 Whittier Blvd, A, Los Angeles, CA 90023-1708 |
| Kiritkumar S Shah | Family Medicine | 3434 Whittier Blvd, Los Angeles, CA 90023-1708 | |
| Leopoldo Hernandez | Dermatology | 3406 Whittier Blvd, Los Angeles, CA 90023-1708 | |
| Find all physicians in zip 90023 | |||
| City | LOS ANGELES |
| Zip Code | 90023 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOS ANGELES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Randall G Shue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.