DR. Edward Grant Shore, MD is an adult medicine family medicine in Van Nuys, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Edward Grant Shore, MD NPI is 1699846709. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15243 VANOWEN ST STE 412
VAN NUYS, CA
ZIP 91405-662
Phone: (818) 783-4800
Fax: (818) 781-6644
The NPI 1699846709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0901439 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/11/2006 and was last updated on 7/8/2007.