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Organization
PRIMARY & URGENT CARE
Active
Organization
PRIMARY & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL SHAH (PHYSICIAN)
(818) 906-4224
Entity
Organization
Contact information
Practice address
2967 DAVISON CT STE D, COLUSA, CA 95932-3285
(530) 454-7040
Mailing address
767 ADMIRAL CT, OAK PARK, CA 91377-4755
(818) 906-4224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
07/01/2024
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