Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G84464 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | G84464 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | G84464 | CA |
NPI | 1134215395 |
---|---|
Provider Name | Dr. Sohail Shayfer |
First Address | Encino, CA 91436-2608 |
Second Address | Encino, CA 91436-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 13/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G84464 | (05) | CA |