Shumny, Annica M

Shumny, Annica M is an sole proprietor health care provider with primary practice located at 1245 16Th St Ste 125 , Santa Monica CA 90404-1240. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shumny, Annica M can be contacted via phone (310) 315-8900.

Contact Information

Primary practice address
1245 16Th St Ste 125 Santa Monica CA 90404-1240
Phone: (310) 315-8900
Fax: (310) 315-8902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164005771 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006632 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61459 California

Profile Details

NPI number 1821474958
LBN Legal business name Shumny, Annica M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2015
Last updated Mar 30th, 2023 - about 3 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.

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