Healthcare Provider Details

I. General information

NPI: 1942417522
Provider Name (Legal Business Name): ROBERT B. SHPINER M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UCLA MEDICAL PLZ SUITE 770
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

5363 BALBOA BLVD SUITE 428
ENCINO CA
91316-2805
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-1965
  • Fax: 310-824-7830
Mailing address:
  • Phone: 818-783-1800
  • Fax: 818-783-7306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG55562
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT B. SHPINER
Title or Position: OWNER
Credential: M.D.
Phone: 818-783-1800