Shibayama, Kevin

Shibayama, Kevin is an individual health care provider with primary practice located at 9808 Venice Blvd Ste 700 , Culver City CA 90232-6824. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Shibayama, Kevin can be contacted via phone (310) 945-3350.

Contact Information

Primary practice address
9808 Venice Blvd Ste 700 Culver City CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 122898 III California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1346771292
LBN Legal business name Shibayama, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Dec 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346771292 NPPES
California Other 122898 III CATC III

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