Shaw, Ileana Companeitz

Shaw, Ileana Companeitz is an individual health care provider with primary practice located at 191 S Buena Vista St Suite 100, Burbank CA 91505-4554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shaw, Ileana Companeitz can be contacted via phone (855) 723-3005.

Contact Information

Primary practice address
191 S Buena Vista St Suite 100 Burbank CA 91505-4554
Phone: (855) 723-3005
Fax: (855) 817-9681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G53452 California

Profile Details

NPI number 1922027325
LBN Legal business name Shaw, Ileana Companeitz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 26th, 2014 - about 11 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 1922027325 NPPES
California MEDICAID 00G534520

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