| Doctor Name: | STEVEN JOSEPH SHOPTAW |
| NPI Number: | 1013245950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | PSY13300 |
| Business Practice Address: | 1920 Colorado Ave Santa Monica, CA - 904043414 |
| Business Phone Number: | 3103194700 |
| Business Fax Number: | 3102060209 |
| Mailing Address: | 5767 W Century Blvd, 200 LOS ANGELES |
| State: | CA |
| Postal Code: | 900455631 |
| Phone Number: | 3103194700 |
| Fax Number: | 3102060209 |
| NPI Enumeration Date: | 12/04/2009 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY13300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |