Lori Miya Shiotani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A83157 Issued in CA

Practice address

200 Medical Plaza
#365,530,420,120
Los Angeles, CA 90095

Phone

(310) 794-9718

NPI assigned

Jul 20, 2006

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1417977414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "address_2": "#365,530,420,120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIOTANI",
        "first_name": "LORI",
        "middle_name": "MIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A831570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shins Professional Hearing AIDS Inc (Shins Professional Audiology & Hearing Aids Inc)
• Nicole Kazue Shintaku
• Michelle Miwa Shintani
• Harriet N Shioji, PT
• Takahiro Shiota, MD
• Hannah Ilyse Ship, MD
• Tanya Shipley
• Samantha D Shipman, AU.D.
• Marchella Shipp, M.A.
• Sara E Shippy, MFTI

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.