# R SHABETAI

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

## Provider details

- **NPI number:** 1639252216
- **Authorized official:** DR. RALPH SHABETAI M.D. (CARDIOLOGIST)
- **Authorized official phone:** (858) 642-3539

## Contact information

- **Practice address:** VAHCS 3350 LA JOLLA VILLAGE DR, CARDIOLGY 111A, LA JOLLA, CA 92161
- **Practice address phone:** (858) 459-3546
- **Mailing address:** VAHCS 3350 LA JOLLA VILLAGE DR CA 92161, CARDIOLGY 111A, LA JOLLA, CA 92161
- **Mailing address phone:** (858) 459-3546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | AFE34883 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 09/06/2023