Healthcare Provider Details

I. General information

NPI: 1912923913
Provider Name (Legal Business Name): LAWRENCE DAVID SHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/11/2025
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DEEP VALLEY DR SUITE 210
ROLLING HILLS ESTATES CA
90274-7605
US

IV. Provider business mailing address

PO BOX 4019
ROLLING HILLS ESTATES CA
90274-9552
US

V. Phone/Fax

Practice location:
  • Phone: 310-544-6858
  • Fax: 310-544-6855
Mailing address:
  • Phone: 310-544-6858
  • Fax: 310-544-6855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberG52657
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG52657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: