Provider Demographics
NPI:1689312647
Name:MARINA SHLIFER INC
Entity Type:Organization
Organization Name:MARINA SHLIFER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHLIFER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-346-4300
Mailing Address - Street 1:20301 VENTURA BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-0934
Mailing Address - Country:US
Mailing Address - Phone:818-346-4300
Mailing Address - Fax:805-346-4301
Practice Address - Street 1:20301 VENTURA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-0934
Practice Address - Country:US
Practice Address - Phone:818-346-4300
Practice Address - Fax:805-346-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty