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NPI Code Detail

MEDICARE: IGOR GARY SHLIFER D.O.

MEDICARE: IGOR GARY SHLIFER D.O.
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
1207R00000XInternal Medicine Physician20A14715CA

General Provider Information

NPI Number : 1295174860
Entity Type Code : Individual
Provider Name (Legal Business Name) : IGOR GARY SHLIFER D.O.
Provider Business Mailing Address
First Line : 20301 VENTURA BLVD STE 210
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-0934
Country : US
Telephone Number : 818-346-4300
Fax Number : 818-346-4301
Provider Business Practice Location Address
First Line : 20301 VENTURA BLVD STE 210
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-0934
Country : US
Telephone Number : 818-346-4300
Fax Number : 818-346-4301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2013
Last Update Date : 12/05/2025

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