Golshani-Hebroni, Shiva G
Golshani-Hebroni, Shiva G is an sole proprietor health care provider with primary practice located at 11833 Wilmington Ave , Los Angeles CA 90059-3015. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Golshani-Hebroni, Shiva G can be contacted via phone (310) 678-8672.Contact Information
Primary practice address
11833 Wilmington Ave
Los Angeles CA 90059-3015
Phone: (310) 678-8672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G078243 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G78243 | California |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | G078243 | California |
Profile Details
| NPI number | 1184783086 |
|---|---|
| LBN Legal business name | Golshani-Hebroni, Shiva G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Apr 19th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184783086 | NPPES |
| California | Other | CMS169253 | CA MEDI-CAL |
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