Iman Conner Shull, is a
Student In An Organized Health Care Education/training Program physician based in Los Angeles, California. Iman Conner Shull is licensed to practice in * (Not Available) (license number ) and his current practice location is 4733 W Sunset Blvd Fl 3, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(714) 861-9021.
NPI number for Iman Conner Shull is 1760131106 and his current mailing address is 400 W Mineral King Ave, Visalia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760131106.
Physician's Profile
| Full Name | Iman Conner Shull |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4733 W Sunset Blvd Fl 3, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760131106
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 07/23/2025
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 |
|---|
| 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
NOT enrolled with medicare and thus cannot 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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