DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD MARK SHAW, MD

Active Sole Proprietor

DR. RICHARD MARK SHAW, MD is a Family Medicine healthcare provider located in SIMI VALLEY, California. NPI 1376537753 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SIMI VALLEY, CA

Registration Details

NPI Number
1376537753
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2005 (20.934345898211 yrs)
Last Updated
Oct 15, 2015
License
G75294 (CA)
Sole Proprietor
Yes

Practice Information

Address
2755 ALAMO ST
#100
SIMI VALLEY, CA, 930651311
Browse CA providers · Browse ZIP 93065
Phone
8052107280
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SIMI VALLEY, CA

Name Credential NPI
DENISE LU-GEE HOM MD 1003809187
INGRID WOELFL ANTALL MD 1629061700
BROOKS CARLTON MICHAELS MD 1316930480
DR. HARRY DRUMMOND III MD 1164416517
DANIEL GHIYAM MD 1750378188
DONALD GRATTON DOWNS MD. 1568451979
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.