Organization
SHIFFMAN & BUCH MDS INC
Active
Other names
Kenneth L Buch, M.D. and Michael I. Shiffman, M.D. a Medical Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L BUCH M.D. (PHYSICIAN)
(818) 989-1917
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST, SUITE 207, VAN NUYS, CA 91405-3606
(818) 989-1917
(818) 989-0751
Mailing address
15211 VANOWEN ST, SUITE 207, VAN NUYS, CA 91405-3606
(818) 989-1917
(818) 989-0751
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
EN745A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G271420
—
CA
01
—
1346200730
INDIVIDUAL NPI (DR. BUCH)
CA
01
—
1497719512
INDIVIDUAL NPI (DR. SHIFFMAN)
CA
01
—
ZZZ55247Z
BLUE SHIELD GROUP ID
CA
Enumeration date
03/29/2006
Last updated
03/16/2012
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