Search › California › 208D00000X
Jeffrey Shibata
NPI 1619615929 · on the registry since 2022
Practice
- Address
- 222 S Central Ave Apt 415
Los Angeles, CA 90012 - Phone
- (805) 506-5333
- Clinicians at this address
- 2
Additional practice sites
- 12021 Wilmington Ave, Los Angeles, CA
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California