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Organization
JAMSHEED JAMES SHAMLOO MD INC
Active
Organization
JAMSHEED JAMES SHAMLOO MD INC
Active
Other names
MT. VERNON MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMSHEED J SHAMLOO M.D. (OWNER)
(909) 422-8015
Entity
Organization
Contact information
Practice address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Mailing address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A89604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8440339
—
CA
Enumeration date
03/17/2010
Last updated
06/07/2010
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