Individual
DR. STEPHEN MARCEL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11160 WARNER AVE, SUITE #223, FOUNTAIN VALLEY, CA 92708-4008
(949) 244-3667
(206) 202-0120
Mailing address
5 MAINSAIL DR, CORONA DEL MAR, CA 92625-1427
(949) 244-3667
(206) 202-0120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G79453
CA
208D00000X
General Practice Physician
Primary
G079453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G794530
—
CA
Enumeration date
05/05/2006
Last updated
05/20/2008
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