Individual provider · Type 1 NPI
Lisa Shibata
Psychiatric/Mental Health Registered Nurse · San Pedro, CA
NPI number
1033743984
Active
Practice location
1300 W. 7th Street, Bridges Unit, 4 East
San Pedro, CA 90732
Mailing address
1300 W 7th St, Bridges Unit, 4 East
San Pedro, CA 90732-3505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 554692 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1033743984
Lisa Shibata's National Provider Identifier is 1033743984, issued on Mar 1, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in San Pedro, CA. The record was last updated on Mar 1, 2020.