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Organization

MICHAEL SHABTAI, M.D., INC.

Active
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Organization

MICHAEL SHABTAI, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SHABTAI M.D. (PRESIDENT / PHYSICIAN)
(818) 435-4789
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A91300
CA

Other

Enumeration date
06/05/2008
Last updated
08/14/2009
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