| Val Shulman M D Inc | |
|
7559 Santa Monica Blvd #200 Los Angeles CA 90046-6406 | |
| (323) 878-2523 | |
| (323) 878-2556 |
| Full Name | Val Shulman M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7559 Santa Monica Blvd #200, Los Angeles, California |
| Authorized Official Name and Position | Tatiana Prisman (OFFICE MANAGER) |
| Authorized Official Contact | 3238782570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Val Shulman M D Inc 7559 Santa Monica Blvd #200 Los Angeles CA 90046-6406 Ph: (323) 878-2523 | Val Shulman M D Inc 7559 Santa Monica Blvd #200 Los Angeles CA 90046-6406 Ph: (323) 878-2523 |
| NPI Number | 1215151626 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 1658315932 |
|---|---|
| Medicare Enrollment ID | O20050616001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215151626 | NPI | - | NPPES |
| GR0056270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A38820 (California) | Primary |
| Provider Name | Valery P Shulman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871594648 PECOS PAC ID: 9739091802 Enrollment ID: I20110302000892 |
| Provider Name | Natalya Dverina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460963 PECOS PAC ID: 1759797970 Enrollment ID: I20210311002792 |
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