Provider Information for 1003430687
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SHIRLEY SEMEL
Sex: Female
NPI: 1003430687
Last Updated: 2020-05-30
Certification Date: 2020-05-30
Certification Date: 2020-05-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003430687 | ||||||||
| Enumeration Date | 2020-05-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14600 DICKENS ST UNIT 305 SHERMAN OAKS, CA 91403-3678 United States Phone: 818-590-5016 | Fax: | ||||||||
| Primary Practice Address | 14600 DICKENS ST UNIT 305 SHERMAN OAKS, CA 91403-3678 United States Phone: 818-590-5016 | Fax: | ||||||||
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