# USMAN S. SHAH, MD

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

## Provider details

- **NPI number:** 1639894637
- **Authorized official:** REBECA LAGUNA (CREDENTIALING MANAGER)
- **Authorized official phone:** (442) 600-5128

## Contact information

- **Practice address:** 1 HOAG DR., BLDG 39, 1ST FLOOR, NEWPORT BEACH, CA 92663-9266
- **Practice address phone:** (949) 764-1801
- **Mailing address:** PO BOX 5434, ORANGE, CA 92863-5434
- **Mailing address phone:** (442) 600-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022