Individual
ALEXANDER SHIBATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6106
Mailing address
12631 IMPERIAL HWY STE D116, SANTA FE SPRINGS, CA 90670-6718
(213) 473-6106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125523
CA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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