MEDICARE: ELIZABETH J MCSHANE M D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G73098	CA

General Provider Information

NPI Number	:	1548295991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH J MCSHANE M D INC

Provider Business Mailing Address
First Line	:	12291 WASHINGTON BLVD STE 301
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-3815
Country	:	US
Telephone Number	:	562-698-2200
Fax Number	:	562-698-5282

Provider Business Practice Location Address
First Line	:	12291 WASHINGTON BLVD STE 301
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-3815
Country	:	US
Telephone Number	:	562-698-2200
Fax Number	:	562-698-5282

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ELIZABETH J. MCSHANE
Credential	:	M.D.
Telephone Number	:	562-698-2200

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	04/07/2022

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