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Individual

DR. THEODORE BENJAMIN SHYBUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24051 NEWHALL RANCH RD, VALENCIA, CA 91355-5702
(661) 254-6364
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C183683
CA
207X00000X
Orthopaedic Surgery Physician
N3308
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
C183683
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
N3308
TX

Other

Enumeration date
07/26/2007
Last updated
01/30/2023
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