MEDICARE: JOSEPH SHAPIRO MD

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
1	207K00000X	Allergy & Immunology Physician	A77622	CA

General Provider Information

NPI Number	:	1528070737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SHAPIRO MD

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	STE 325
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3404
Country	:	US
Telephone Number	:	818-837-2753
Fax Number	:	818-898-9282

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	STE 325
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3404
Country	:	US
Telephone Number	:	818-837-2753
Fax Number	:	818-898-9282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/20/2016

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