Individual provider · Type 1 NPI

Kevin Shibayama

Rehabilitation Practitioner · Culver City, CA

NPI number 1346771292 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Call (310) 945-3350 Map

Fax (310) 945-3356

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X122898 III (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1346771292

Kevin Shibayama's National Provider Identifier is 1346771292, issued on Mar 22, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Culver City, CA. The record was last updated on Dec 21, 2018.