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Organization
DOA PROFESSIONAL CORPORATION
Active
Organization
DOA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAHEH SHIRVANIAN MD (MD)
(818) 624-1290
Entity
Organization
Contact information
Practice address
24335 MAGIC MOUNTAIN PKWY, SANTA CLARITA, CA 91355-3402
(818) 624-1290
Mailing address
3893 VILLA VISTA PL, CONCORD, CA 94521-2028
(818) 624-1290
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
09/07/2023
Last updated
02/14/2025
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