Iman Conner Shull, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Emergency Medicine. His current practice location is
4733 W Sunset Blvd Fl 3, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(714) 861-9021.
Iman Conner Shull is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1760131106.
Physician's Profile
| Full Name | Iman Conner Shull |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 4 Years |
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| Location | 4733 W Sunset Blvd Fl 3, Los Angeles, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Iman Conner Shull graduated from medical school in 2022
NPI Data:
- NPI Number: 1760131106
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 07/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042718306
- Enrollment ID: I20250807001123
Medical Identifiers
Medical identifiers for Iman Conner Shull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760131106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 20A22002 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iman Conner Shull is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Iman Conner Shull,
400 W Mineral King Ave,
Visalia, CA 93291-6237
Ph: (559) 624-2000 | Iman Conner Shull,
4733 W Sunset Blvd Fl 3,
Los Angeles, CA 90027-6093
Ph: (714) 861-9021 |
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