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Search › California › 213ES0103X

Mark Shelly, DPM

NPI 1902922149 · on the registry since 2007

Practice

Address
17609 Ventura Blvd
Ste 210
Encino, CA 91316
Phone
(818) 708-7668
Fax
(818) 708-9668
Organisation at this address
Kesem Inc
Mzmz Corp.
Mcrory Pediatrics
Inner Actions, Llc
Viva Med Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-14

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