SHANE MEDICAL OFFICE A PROFESSIONAL CORPORATION (NPI# 1548309560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548309560 |
| Entity Type | Organization |
| Organization Name | SHANE MEDICAL OFFICE A PROFESSIONAL CORPORATION |
| Other Organization Name | MAYWOOD URGENT CARE |
| Practice Address |
4316 E. Slauson Ave Maywood CA 90270 |
| Mailing Address |
P.o. Box 413 Pacific Palisades CA 90272 |
| Practice Telephone | 3237732020 |
| Practice Fax Number | 3237716069 |
| Mailing Telephone | 3237732020 |
| Mailing Fax Number | 3237716069 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | MRS. TARA PAJOUM II (OFFICE MANAGER) |
| Authorized Official Telephone | 3237732020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A48800 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MAYWOOD URGENT CARE | Doing Business As Name - Organization |
| Street Address |
4316 E. SLAUSON AVE |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| 1558458836 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-06 |
| Find all providers in zip 90270 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1740847243 | Naveen Sundar Rameshkumar | Internal Medicine | 2160 S 1st Ave Ste Ll34, Maywood, IL 60153-3328 | 2019-05-21 |
| 1285125328 | Simge Yuksel | Internal Medicine | 2160 South First Ave., Room 7609, Maywood, IL 60153 | 2018-05-24 |
| 1952805111 | Nicholas Brement | Internal Medicine | 2160 S. 1st Ave., Maywood, IL 60153 | 2018-03-22 |
| 1932504461 | Manfred Molina,md Inc. | Internal Medicine | 4433 Slauson Ave, Maywood, CA 90270-2931 | 2014-10-27 |
| 1235556671 | Dana Collin Johnson | Internal Medicine | 2160 S 1st Ave Rm 6292, Maywood, IL 60153-3328 | 2014-03-24 |
| 1316210990 | Ari Geliebter | Internal Medicine | 240 W Passaic St Ste 14, Maywood, NJ 07607-1264 | 2012-02-13 |
| 1407146640 | Asima Abbas Doriwala | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2011-04-08 |
| 1912219254 | Michelle W Ha | Internal Medicine | 2160 S. First Avenue Rm 7609, Loyola University Medical Center Luh- North Entrance, Maywood, IL 60153-3328 | 2010-07-01 |
| 1790006138 | Meghan O'halloran | Internal Medicine | 2160 S 1st Ave Ofc 1011740, Gme, Maywood, IL 60153-3328 | 2010-06-21 |
| Find all providers in MAYWOOD | ||||
Please comment or provide details below to improve the information on SHANE MEDICAL OFFICE A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.