Shane Wurdeman, CP

NPI 1497911572 · on the registry since 2008

Practice

Address: 11301 Wilshire Blvd
Bldg 304
Los Angeles, CA 90073
Phone: (310) 478-3711
Organisation at this address: Va Glahs
Veterans Affairs
Va Medical Center
The Salvation Army
New Directions, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,305

Registry record

Primary taxonomy: 224P00000X
224P00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California