Basic Information
| Provider Information | |||||||||
| NPI: | 1528070737 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHAPIRO | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12660 RIVERSIDE DR | ||||||||
| Address2: | STE 325 | ||||||||
| City: | STUDIO CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916073404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188372753 | ||||||||
| FaxNumber: | 8188989282 | ||||||||
| Practice Location | |||||||||
| Address1: | 12660 RIVERSIDE DR | ||||||||
| Address2: | STE 325 | ||||||||
| City: | STUDIO CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916073404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188372753 | ||||||||
| FaxNumber: | 8188989282 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2006 | ||||||||
| LastUpdateDate: | 05/20/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | A77622 | CA | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
No ID Information.