Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G31730 | CA |
NPI | 1033268156 |
---|---|
Provider Name | Dr. Michael Louis Schiffman |
First Address | Los Angeles, CA 90045-4008 |
Second Address | Los Angeles, CA 90045-4008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A44846 | (02) | CA |