Healthcare Provider Details

I. General information

NPI: 1720619588
Provider Name (Legal Business Name): JAY N. SCHAPIRA MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8635 W 3RD ST STE 750W
LOS ANGELES CA
90048-6108
US

IV. Provider business mailing address

8635 W 3RD ST STE 750W
LOS ANGELES CA
90048-6108
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-2030
  • Fax:
Mailing address:
  • Phone: 310-659-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAY NEIL SCHAPIRA
Title or Position: CARDIOLOGIST
Credential: MD
Phone: 310-659-2030