Dr. Kelly Alexandra Shimada
Prosthodontist
11301 Wilshire Blvd Bldg 500 Dental
Los Angeles
, California 90073-1003
Dr. Kelly Alexandra Shimada
Prosthodontist
11301 Wilshire Blvd Bldg 500 Dental
Los Angeles
, California 90073-1003
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Kelly Alexandra Shimada
- 25078 Peachland Ave Ste H
- Newhall, CA
- Zip : 91321-2555
- Phone :
Second Address
- Dr. Kelly Alexandra Shimada
- 11301 Wilshire Blvd Bldg 500 Dental
- Los Angeles, CA
- Zip : 90073-1003
- Phone : (626) 399-5248
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 64313 | CA |
National Provider Identifier
| NPI | 1184075111 |
|---|---|
| Provider Name | Dr. Kelly Alexandra Shimada |
| First Address | Newhall, CA 91321-2555 |
| Second Address | Los Angeles, CA 90073-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2016 |
| Last Update Date | 27/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.