Physician Therapeutics LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C32361 Issued in CA

Legal business name

PHYSICIAN THERAPEUTICS LLC

Practice address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726

Phone

(310) 474-9809

Fax

(310) 531-7089

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Elson Shell, M.D.

Title

Ceo

Phone

(310) 474-9809

Specialties & licenses 1

Addresses

Other names 1

• William Shell, M.D. Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659584662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "310-531-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "310-531-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ELSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-474-9809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C32361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Shell, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.