Individual
DR. CARL SCOTT SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1808 VERDUGO BLVD, SUITE 103, GLENDALE, CA 91208-1477
(818) 790-9000
(818) 790-2708
Mailing address
1808 VERDUGO BLVD, SUITE 103, GLENDALE, CA 91208-1477
(818) 790-9000
(818) 790-2708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G32413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G324131
—
CA
Enumeration date
08/22/2006
Last updated
09/21/2011
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