Provider Demographics
NPI:1912972217
Name:SHORR, NORMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:SHORR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:435 NORTH ROXBURY DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-278-1839
Mailing Address - Fax:310-278-4320
Practice Address - Street 1:435 NORTH ROXBURY DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-278-1839
Practice Address - Fax:310-278-4320
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG24114207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G241140Medicaid
E87053Medicare UPIN
CAW10319Medicare PIN