Individual
DR. SHANE SHEIBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 WILSHIRE BLVD STE 1702, LOS ANGELES, CA 90048-5818
(323) 456-2600
(323) 456-0160
Mailing address
6200 WILSHIRE BLVD STE 1702, LOS ANGELES, CA 90048-5818
(323) 456-2600
(323) 456-0160
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A056075
CA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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