Individual
VIVIAN PHAN SHIBAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 STEIN PLAZA SUITE 2-525, LOS ANGELES, CA 90095-7065
(310) 825-5000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
14290
CA
Other
Enumeration date
08/22/2011
Last updated
01/29/2025
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