Individual
JEREMY F SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16550 VENTURA BLVD, STE 414, ENCINO, CA 91436-2004
(818) 783-3110
(818) 783-3115
Mailing address
16550 VENTURA BLVD, STE 414, ENCINO, CA 91436-2004
(818) 783-3110
(818) 783-3115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A81091
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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