OrganizationActive
Randall G. Shue D.O. Inc.
NPI 1013265214 · Primary Care Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1013265214
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Randall G. Shue D.O. Inc.
- Organization subpart
- Yes
- Authorized official
- Randall Shue, President(323) 268-3491
- License
- 20A5142 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4055 E Olympic Blvd
Suite 210
Los Angeles, CA 90023-3345
Phone: (323) 268-3491
Street-level locationGet directions
Mailing address
4055 E Olympic Blvd
Los Angeles, CA 90023-3345
Other names (DBA / former)
- Other name
- La Procedure Clinic
Registry dates
- Enumerated
- 2012-08-17
- Last updated
- 2012-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.