Randall G. Shue D.o. Inc. in Los Angeles, CA

Randall G. Shue D.o. Inc. is a medicare enrolled primary clinic (Family Medicine) in Los Angeles, California. The current practice location for Randall G. Shue D.o. Inc. is 4055 E Olympic Blvd, #210, Los Angeles, California. For appointments, you can reach them via phone at (323) 268-3491. The mailing address for Randall G. Shue D.o. Inc. is 4055 E Olympic Blvd, #210, Los Angeles, California and phone number is (323) 268-3491.

Randall G. Shue D.o. Inc. is licensed to practice in California (license number 20A5142). The clinic also participates in the medicare program and its NPI number is 1770758187. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 268-3491.

Contact Information

	Randall G. Shue D.o. Inc.
	4055 E Olympic Blvd #210 Los Angeles CA 90023-3345
	(323) 268-3491
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Randall G. Shue D.o. Inc.
Speciality	Family Medicine
Location	4055 E Olympic Blvd, Los Angeles, California
Authorized Official Name and Position	Randall G. Shue (OWNER)
Authorized Official Contact	3232683491
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Randall G. Shue D.o. Inc. 4055 E Olympic Blvd #210 Los Angeles CA 90023-3345 Ph: (323) 268-3491	Randall G. Shue D.o. Inc. 4055 E Olympic Blvd #210 Los Angeles CA 90023-3345 Ph: (323) 268-3491

NPI Details:

NPI Number	1770758187
Provider Enumeration Date	04/25/2008
Last Update Date	04/25/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	8224089123
Medicare Enrollment ID	O20050325000445

Medical Identifiers

Medical identifiers for Randall G. Shue D.o. Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770758187	NPI	-	NPPES
00AX5142	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A5142 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randall G. Shue D.o. Inc. acts as a billing entity for following providers:

Provider Name	Randall G Shue
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1679576730 PECOS PAC ID: 1658322557 Enrollment ID: I20050316001003

Reviews and Comments

Family Medicine in Los Angeles, CA

Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

Randall G. Shue D.o. Inc. - Medicare Primary Care in Los Angeles, CA