# MICHAEL SHABTAI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265691059
- **Authorized official:** DR. MICHAEL SHABTAI M.D. (PRESIDENT / PHYSICIAN)
- **Authorized official phone:** (818) 435-4789

## Contact information

- **Practice address:** 17075 DEVONSHIRE ST, SUITE 107, NORTHRIDGE, CA 91325-1600
- **Practice address phone:** (818) 435-4789
- **Practice address fax:** (818) 363-5454
- **Mailing address:** 17075 DEVONSHIRE ST, SUITE 107, NORTHRIDGE, CA 91325-1600
- **Mailing address phone:** (818) 435-4789
- **Mailing address fax:** (818) 363-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A91300 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 08/14/2009