Provider Demographics
NPI:1427501659
Name:HARVEY M SHAPIRO MD
Entity type:Organization
Organization Name:HARVEY M SHAPIRO MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-990-1870
Mailing Address - Street 1:13324 CAMINITO MAR VILLA
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3614
Mailing Address - Country:US
Mailing Address - Phone:619-990-1870
Mailing Address - Fax:
Practice Address - Street 1:13324 CAMINITO MAR VILLA
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3614
Practice Address - Country:US
Practice Address - Phone:619-990-1870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG30736251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG30736OtherMEDICAL LICENSE
CA1822348861OtherNPI
CA1822348861OtherNPI