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NPI Code Detail

MEDICARE: SHEFAH HEALTHCARE SC

MEDICARE: SHEFAH HEALTHCARE SC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1386422236
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEFAH HEALTHCARE SC
Provider Business Mailing Address
First Line : 9171 WILSHIRE BLVD STE 500
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-5536
Country : US
Telephone Number : 310-933-5688
Fax Number :
Provider Business Practice Location Address
First Line : 5454 FARGO AVE STE 107
Second Line :
City : SKOKIE
State : IL
Zip : 60077-3210
Country : US
Telephone Number : 310-933-5688
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL FARAH
Credential :
Telephone Number : 310-933-5688
Provider Enumeration Date : 09/20/2023
Last Update Date : 07/10/2024

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Directions to “SHEFAH HEALTHCARE SC ” Practice Location

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