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Shantall Prado
NPI 1174057145 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2301 Hyperion Ave #A
Los Angeles, CA 90027 - Phone
- (310) 879-8004
- Clinicians at this address
- 6
Additional practice sites
- 2330 Beverly Blvd, Los Angeles, CA
- 3850 Crenshaw Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
101YM0800X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-15
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