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Shana Elizabeth Race

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8358

PECOS Enrollment

This provider is enrolled in PECOS as SHANA RACE.

Based on the most recent information from CMS, provider Shana Elizabeth Race is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:00 PM.

Profile Details

Provider ID
1700435526
Provider Type
Individual
Full Name
Race, Shana Elizabeth
Title
Mrs.
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/4/2019
Last Updated
11/22/2021

Contact Information

Practice Location

200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8358

(310) 825-7921

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-8771

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95012572 California

Shana Elizabeth Race

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Aleksandrovskaya, Sabina

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Chavarria, Allison Yumiko

Orloff, Tatiana N

Conte, Luis Christopher

Colantuono, Erin

Bullard, Rebecca Anne

Vargas, Erika

Shameem, Zeba