Individual
DR. BRIAN L SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-6400
(415) 369-1384
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-6400
(415) 369-1384
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
2009139
CA
207SG0201X
Clinical Genetics (M.D.) Physician
MD153180
OR
207SG0201X
Clinical Genetics (M.D.) Physician
MD60278147
WA
207V00000X
Obstetrics & Gynecology Physician
MD153180
OR
207V00000X
Obstetrics & Gynecology Physician
MD60278147
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
854587
CA
207VM0101X
Maternal & Fetal Medicine Physician
MD153180
OR
207VM0101X
Maternal & Fetal Medicine Physician
MD60278147
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A825830
—
CA
05
—
500627546
—
OR
01
—
A82583
STATE MEDICAL LICENSE
CA
01
—
MD153180
STATE MEDICAL LICENSE
OR
Enumeration date
04/21/2006
Last updated
02/24/2021
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