Individual
BRYAN BENJAMIN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(310) 527-1283
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A163389
CA
Other
Enumeration date
04/13/2017
Last updated
04/14/2020
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