Provider Demographics
NPI:1730271446
Name:BAUM-SHAPELL, ANNA G (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:G
Last Name:BAUM-SHAPELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:213 N ELM DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4913
Mailing Address - Country:US
Mailing Address - Phone:310-613-1231
Mailing Address - Fax:310-275-5395
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:MS# 113
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-669-2109
Practice Address - Fax:323-953-8519
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG494332080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G494330Medicaid
CA00G494330 851OtherCAL OPTIMA
CAWG49433BMedicare ID - Type Unspecified
CAE97054Medicare UPIN