Organization
MICHAEL R. SHAPIRO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R SHAPIRO M.D. (CEO)
(818) 788-5533
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE 304, ENCINO, CA 91316-5129
(818) 788-5533
Mailing address
17609 VENTURA BLVD STE 304, ENCINO, CA 91316-5129
(818) 788-5533
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A35795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A35795
MEDICAL LICENSE
CA
Enumeration date
05/17/2017
Last updated
07/21/2022
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