Provider Demographics
NPI:1003982265
Name:SHIFF, LIZA ALINE (MD)
Entity Type:Individual
Prefix:DR
First Name:LIZA
Middle Name:ALINE
Last Name:SHIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LIZA
Other - Middle Name:ALINE
Other - Last Name:FEIGENBAUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2101 FOREST AVE
Mailing Address - Street 2:STE 116
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1472
Mailing Address - Country:US
Mailing Address - Phone:408-971-8080
Mailing Address - Fax:408-971-2545
Practice Address - Street 1:2101 FOREST AVE
Practice Address - Street 2:STE 116
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1472
Practice Address - Country:US
Practice Address - Phone:408-971-8080
Practice Address - Fax:408-971-2545
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA066416208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85686Medicare UPIN