Individual
SHAHIN E SHEIBANI-RAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD, SUITE 1150, ENCINO, CA 91436-2124
(818) 477-0787
Mailing address
PO BOX 261274, ENCINO, CA 91426-1274
(818) 481-9230
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A130858
CA
Other
Enumeration date
06/26/2007
Last updated
07/21/2022
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