Provider Demographics
NPI:1679724223
Name:SHAPIRA AND STEIN, INC.
Entity type:Organization
Organization Name:SHAPIRA AND STEIN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRSTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-985-6800
Mailing Address - Street 1:4741 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3934
Mailing Address - Country:US
Mailing Address - Phone:818-985-6800
Mailing Address - Fax:818-985-6808
Practice Address - Street 1:4741 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3934
Practice Address - Country:US
Practice Address - Phone:818-985-6800
Practice Address - Fax:818-985-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001227251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059213OtherMEDICARE PTAN