| Jeffrey Shukhman Do Pc | |
|
22554 Ventura Blvd Ste 129 Woodland Hills CA 91364-1469 | |
| (818) 722-8952 | |
| (747) 267-6342 |
| Full Name | Jeffrey Shukhman Do Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22554 Ventura Blvd Ste 129, Woodland Hills, California |
| Authorized Official Name and Position | Jeffrey Shukhman (OWNER) |
| Authorized Official Contact | 3106501656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Shukhman Do Pc 22554 Ventura Blvd Ste 129 Woodland Hills CA 91364-1469 Ph: (818) 722-8952 | Jeffrey Shukhman Do Pc 22554 Ventura Blvd Ste 129 Woodland Hills CA 91364-1469 Ph: (818) 722-8952 |
| NPI Number | 1841974862 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1052773199 |
|---|---|
| Medicare Enrollment ID | O20230822000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841974862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Shukhman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447593660 PECOS PAC ID: 1456659994 Enrollment ID: I20160415001277 |
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