Individual
DR. MICHAEL RICHARD SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17609 VENTURA BLVD STE 304, ENCINO, CA 91316
(818) 788-5533
(818) 788-2175
Mailing address
17609 VENTURA BLVD STE 304, ENCINO, CA 91316-5129
(818) 788-5533
(818) 788-2175
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A35795
CA
207XX0801X
Orthopaedic Trauma Physician
Primary
A35795
CA
Other
Enumeration date
09/25/2006
Last updated
06/25/2019
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