Individual
TRAVIS L SHIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27235 TOURNEY RD STE 2500, SANTA CLARITA, CA 91355-5908
(616) 253-5851
(661) 253-5852
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A126214
CA
Other
Enumeration date
03/29/2011
Last updated
12/06/2019
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