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Organization
SOUTHERN CALIFORNIA INFECTIOUS DISEASE PHYSICIANS MEDICAL GROUP INC
Active
Organization
SOUTHERN CALIFORNIA INFECTIOUS DISEASE PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEENA H SHAH MD (PRESIDENT)
(626) 810-3330
Entity
Organization
Contact information
Practice address
18335 E VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Mailing address
18335 E VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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