Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Shibata

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619615929

Jeffrey Shibata is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Additional practice locations (1)

  • 12021 Wilmington Ave, Los Angeles, CA 90059-3019 — (424) 338-8714

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 1619615929 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619615929
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

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