MEDICARE: HOWARD SCHANKER MD

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	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	G37175	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G37175	OTHER	CA	LICENSE
2	ZZZ73295Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1447263652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD SCHANKER MD

Provider Business Mailing Address
First Line	:	11620 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1706
Country	:	US
Telephone Number	:	310-312-5050
Fax Number	:	310-575-9292

Provider Business Practice Location Address
First Line	:	11620 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1706
Country	:	US
Telephone Number	:	310-312-5050
Fax Number	:	310-575-9292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	11/10/2009

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Directions to “ HOWARD SCHANKER MD” Practice Location

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