DR. THOMAS LEE SHOOK M.D.
NPI 1104810050
Specialist in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since September 07, 2005

1245 WILSHIRE BLVD, STE 703, LOS ANGELES, CA 90017(213) 977-7422(213) 250-8945 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Thomas Lee Shook M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS LEE SHOOK M.D. (NPI 1104810050) is an individual specialist in Los Angeles, California, licensed in California (G59793) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1104810050

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. THOMAS LEE SHOOKCredential: M.D.

Location Address1245 WILSHIRE BLVD, STE 703Los Angeles, CA 90017-4810

Mailing Address1245 Wilshire Blvd, Ste 703Los Angeles, CA 90017-4810 · (213) 977-7422 · Fax (213) 250-8945

Phone(213) 977-7422

Fax(213) 250-8945

Sole ProprietorNo

Enumeration DateSeptember 7, 2005

Last NPPES UpdateNovember 13, 2007

✔ NPI 1104810050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G59793

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1245 WILSHIRE BLVD, Los Angeles, CA 90017

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