IndividualActive
Roderick Shaner, M.D.
NPI 1669560181 · Geriatric Psychiatry Physician · Los Angeles, CA
Provider details
- NPI number
- 1669560181
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G34438 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
550 S Vermont Ave
Los Angeles, CA 90020-1912
Phone: (213) 738-4603
Fax: (213) 386-1297
Approximate (ZIP-level) locationGet directions
Mailing address
550 S Vermont Ave
Los Angeles, CA 90020-1912
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.