| Doctor Name: | ILEANA COMPANEITZ SHAW |
| NPI Number: | 1922027325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G53452 |
| Business Practice Address: | 191 S Buena Vista St Suite 100 Burbank, CA - 915054554 |
| Business Phone Number: | 8557233005 |
| Business Fax Number: | 8558179681 |
| Mailing Address: | Po Box 9602, MISSION HILLS |
| State: | CA |
| Postal Code: | 913469602 |
| Phone Number: | 8188375691 |
| Fax Number: | 8187924793 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | G53452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |