Individual
DARRYL KENJI SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-5331
(323) 442-2582
(323) 442-2588
Mailing address
PO BOX 31309, LOS ANGELES, CA 90033-0309
(323) 442-2582
(323) 442-2588
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G54288
CA
Other
Enumeration date
08/01/2006
Last updated
11/27/2023
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