Organization
BARRY SHIBUYA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY EIICHI SHIBUYA MD (PRESIDENT)
(510) 791-1300
Entity
Organization
Contact information
Practice address
3775 BEACON AVE, SUITE 100, FREMONT, CA 94538-1466
(510) 791-1300
(510) 791-1301
Mailing address
3775 BEACON AVE, SUITE 100, FREMONT, CA 94538-1466
(510) 791-1300
(510) 791-1301
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A72682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A7268210
—
CA
Enumeration date
04/06/2006
Last updated
08/05/2014
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