Provider Demographics
NPI:1760434880
Name:PAGIEL SHECHTER MD. INC
Entity Type:Organization
Organization Name:PAGIEL SHECHTER MD. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAGIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-733-4171
Mailing Address - Street 1:6612 COLGATE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4205
Mailing Address - Country:US
Mailing Address - Phone:310-733-4171
Mailing Address - Fax:310-559-0996
Practice Address - Street 1:6222 WILSHIRE BLVD STE 304
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5193
Practice Address - Country:US
Practice Address - Phone:310-733-4171
Practice Address - Fax:310-559-0996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15817Medicare ID - Type Unspecified