RODERICK EMMANUEL SHANER M.D. NPI 1669560181

NPI Information

Roderick Emmanuel Shaner, M.D. is an addiction medicine psychiatry neurology in Los Angeles, CA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Roderick Emmanuel Shaner, M.D. NPI is 1669560181. 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:

550 S VERMONT AVE
LOS ANGELES, CA
ZIP 90020-912
Phone: (213) 738-4603
Fax: (213) 386-1297

The NPI 1669560181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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