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Organization
VINAYAK S. SHANBHAG, M. D.
Active
Organization
VINAYAK S. SHANBHAG, M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAYAK S SHANBHAG MD (OWNER)
(714) 532-6811
Entity
Organization
Contact information
Practice address
810 W LA VETA AVE, ORANGE, CA 92868-3918
(714) 532-6811
(714) 532-5487
Mailing address
810 W LA VETA AVE, ORANGE, CA 92868-3918
(714) 532-6811
(714) 532-5487
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341870
—
CA
01
—
1194741330
NPI
CA
Enumeration date
07/10/2006
Last updated
07/16/2008
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