Shane C Dickerson, MD
Anesthesiology in Los Angeles, California
1740522341- Practice location
- 1500 San Pablo St Fl 4, Los Angeles, CA 90033-5313
- Phone
- 323-442-7400
- Fax
- —
- Last updated
- July 21, 2022
Shane Charles Dickerson is an Anesthesiology based in Los Angeles, CA. Shane Charles Dickerson practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Shane Charles Dickerson is 1740522341 and holds a License No. A147680 (CA). The current practice location address for Shane Charles Dickerson is 1500 San Pablo St Fl 4, Los Angeles, CA 90033-5313 and can be reached out via phone at 323-442-7400.
Provider Profile Details
- NPI Number
- 1740522341
- Provider Name
- Shane Charles Dickerson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1500 San Pablo St Fl 4, Los Angeles, CA 90033-5313
- Phone Number
- 323-442-7400
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2013
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1500 San Pablo St Fl 4
Los Angeles, CA 90033-5313 - City
- Los Angeles
- State
- California
- Zip
- 90033-5313
- Phone Number
- 323-442-7400
Provider Business Mailing Address Details
- Address
- Po Box 31309
Los Angeles, CA 90031-0309 - City
- Los Angeles
- State
- CA
- Zip
- 90031-0309
- Phone Number
- 323-442-7400
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- A147680
- License State (2)
- CA
- Taxonomy (2)
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Anesthesiology providers near Los Angeles, CA
View all Anesthesiology providers in Los Angeles →Frequently Asked Questions
What is the NPI number of Shane C Dickerson, MD?
The NPI number of Shane C Dickerson, MD is 1740522341. It was assigned on March 21, 2013 and is currently active in the NPPES registry.
What is the specialty of Shane C Dickerson, MD?
Shane C Dickerson, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CA under license number A147680.
Where does Shane C Dickerson, MD practice?
The practice location is 1500 San Pablo St Fl 4, Los Angeles, CA 90033-5313. The office can be reached at 323-442-7400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740522341 directly on the NPPES registry website.