Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD GRANT SHORE, MD
Active Sole ProprietorDR. EDWARD GRANT SHORE, MD is a Adolescent Medicine healthcare provider located in VAN NUYS, California. NPI 1699846709 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · VAN NUYS, CA
Registration Details
- NPI Number
- 1699846709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2006 (19.774116689072 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G7953 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15243 VANOWEN ST STE 412VAN NUYS, CA, 914053662Browse CA providers · Browse ZIP 91405
- Phone
- 8187834800
- Fax
- 8187816644
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in VAN NUYS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY S. ROSENBLUM | D.O. | 1740361096 |
| DR. EMMETT A. BERG | D.O. | 1942382007 |
| DR. VISHAKALAKSHMI SUBBIAH | M.D. | 1790906568 |
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.