Stephanie Shaner | Los Angeles, CA • PECOS Search

Stephanie Shaner

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Shaner does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1144391020
Provider Type
Individual
Full Name
Shaner, Stephanie
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
9/23/2008

Contact Information

Practice Location

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

Unlisted Fax

Mailing Location

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License G61932 California