Healthcare Provider Details

I. General information

NPI: 1134215395
Provider Name (Legal Business Name): SOHAIL SHAYFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SHAWN S SHAYFER MD

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16055 VENTURA BLVD STE 444
ENCINO CA
91436-2608
US

IV. Provider business mailing address

16055 VENTURA BLVD STE 444
ENCINO CA
91436-2608
US

V. Phone/Fax

Practice location:
  • Phone: 818-981-3688
  • Fax: 818-981-3588
Mailing address:
  • Phone: 818-981-3688
  • Fax: 818-981-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG84464
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberG84464
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberG84464
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: