Shuham, Ellen
Shuham, Ellen is an individual health care provider with primary practice located at 18661 Devonshire St , Northridge CA 91324. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shuham, Ellen can be contacted via phone (818) 368-1234.Contact Information
Primary practice address
18661 Devonshire St
Northridge CA 91324
Phone: (818) 368-1234
Fax: (818) 363-3161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6899TPA | California |
Profile Details
| NPI number | 1629127519 |
|---|---|
| LBN Legal business name | Shuham, Ellen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Nov 17th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629127519 | NPPES |
| California | MEDICAID | SD0068990 |
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