Provider Demographics
NPI:1821038647
Name:CLOER, SHEREE SHEN (DO)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:SHEN
Last Name:CLOER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11637 THE PLZ
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3930
Mailing Address - Country:US
Mailing Address - Phone:562-864-7279
Mailing Address - Fax:562-406-8606
Practice Address - Street 1:11637 THE PLZ
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3930
Practice Address - Country:US
Practice Address - Phone:562-864-7279
Practice Address - Fax:562-406-8606
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A 8524207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A 8524OtherD.O. LICENSE #
CAW20A8524AMedicare PIN
CAI63182Medicare UPIN