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Gabriel Shallcross

NPI 1790406791 · on the registry since 2022

Practice

Address
500 S San Pedro St
Los Angeles, CA 90013
Phone
(213) 285-4260
Organisation at this address
Jwch Institute, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
390200000X
101YM0800X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-06

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