Organization
SOPHIE SHIRIN M D INC
Active
Organization
SOPHIE SHIRIN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIE SHIRIN M.D. (DOCTOR)
(818) 905-3880
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, STE. 300, ENCINO, CA 91436-2203
(818) 905-3880
(818) 905-7806
Mailing address
16260 VENTURA BLVD, STE. 300, ENCINO, CA 91436-2203
(818) 905-3880
(818) 905-7806
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A66454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A664540
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
07/30/2006
Last updated
12/29/2022
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