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NPI Code Detail

MEDICARE: ILAN SHAPIRO STRYGLER M.D.

MEDICARE: ILAN SHAPIRO STRYGLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME109420FL
2208000000XPediatrics Physician125.055481IL
3208000000XPediatrics PhysicianA140819CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336305606
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILAN SHAPIRO STRYGLER M.D.
Provider Business Mailing Address
First Line : 2040 CAMFIELD AVE
Second Line :
City : COMMERCE
State : CA
Zip : 90040-1502
Country : US
Telephone Number : 323-725-8751
Fax Number :
Provider Business Practice Location Address
First Line : 2040 CAMFIELD AVE
Second Line :
City : COMMERCE
State : CA
Zip : 90040-1502
Country : US
Telephone Number : 323-725-8751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 06/07/2016

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Directions to “ ILAN SHAPIRO STRYGLER M.D.” Practice Location

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