SHANE EDWARDS (NPI# 1578947990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578947990 |
| Entity Type | Individual |
| Full Name | SHANE EDWARDS |
| Practice Address |
7460 Hollywood Blvd Apt 2 Los Angeles CA 90046-2832 |
| Practice Telephone | 3232037236 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC33298 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037648 | Shane M Edwards | Assistant Behavior Analyst | 8875 Hidden River Pkwy Ste 318, Tampa, FL 33637-1035 | 2020-03-03 |
| Street Address |
7460 HOLLYWOOD BLVD APT 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90046-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90046 |
Please comment or provide details below to improve the information on SHANE EDWARDS.
| 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.