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NPI Code Detail

MEDICARE: UZIEL SHEFA MEDICAL SC

MEDICARE: UZIEL SHEFA MEDICAL 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 : 1518716919
Entity Type Code : Organization
Provider Name (Legal Business Name) : UZIEL SHEFA MEDICAL SC
Provider Business Mailing Address
First Line : 8200 WILSHIRE BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2328
Country : US
Telephone Number : 310-933-5688
Fax Number : 310-616-5188
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 : 310-616-5188
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MICHAEL FARAH
Credential :
Telephone Number : 310-879-7167
Provider Enumeration Date : 05/16/2024
Last Update Date : 01/21/2026

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Directions to “UZIEL SHEFA MEDICAL SC ” Practice Location

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