Organization
JAMES S. SHAFER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S SHAFER M.D. (PRESIDENT)
(626) 332-6238
Entity
Organization
Contact information
Practice address
203 W BADILLO ST, COVINA, CA 91723-1907
(626) 332-6238
(626) 332-1044
Mailing address
203 W BADILLO ST, COVINA, CA 91723-1907
(626) 332-6238
(626) 332-1044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C26610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C266100
BLUE SHIELD
CA
05
—
00C266100
—
CA
Enumeration date
03/29/2007
Last updated
01/07/2008
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