Individual provider · Type 1 NPI
Jeffrey Shibata
General Practice Physician · Los Angeles, CA
NPI number
1619615929
Active
Practice location
222 S Central Ave Apt 415
Los Angeles, CA 90012-4235
Other practice locations
- 12021 Wilmington Ave, Los Angeles, CA 90059-3019 · (424) 338-8714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 1619615929 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1619615929
Jeffrey Shibata's National Provider Identifier is 1619615929, issued on May 25, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 15, 2024.