# DOA PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073399804
- **Authorized official:** VAHEH SHIRVANIAN MD (MD)
- **Authorized official phone:** (818) 624-1290

## Contact information

- **Practice address:** 24335 MAGIC MOUNTAIN PKWY, SANTA CLARITA, CA 91355-3402
- **Practice address phone:** (818) 624-1290
- **Mailing address:** 3893 VILLA VISTA PL, CONCORD, CA 94521-2028
- **Mailing address phone:** (818) 624-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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
