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Manessa Crystal Shaw

  • Female

Medical Specialty

Professional ID

  • NPI: 1770900821
  • PECOS ID: 6406146224
  • Enrollment ID: I20170209000716
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2014

Hospital Service

  • Hospital CCN1: 050278
  • Business Name (LBN)1: Providence Holy Cross Medical Center

Medical Practices

  • Organization Name: Facey Medical Foundation
  • Group Practice ID assigned by PECOS: 3173436276
  • Number of Group Practice member: 244

Location

  • Address1: 26357 Mcbean Pkwy
  • Address2:
  • City: Valencia
  • State: California
  • Zip Code: 91355
  • Phone Number: (661)222-2600

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):