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Organization
STEVEN C SHOHAM MD
Active
Organization
STEVEN C SHOHAM MD
Active
Other names
Shoham Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CHARLES SHOHAM MD (PHYSICIAN OWNER)
(818) 832-3322
Entity
Organization
Contact information
Practice address
10515 BALBOA BLVD STE 360, GRANADA HILLS, CA 91344
(818) 832-3322
(818) 360-9171
Mailing address
10515 BALBOA BLVD STE 360, GRANADA HILLS, CA 91344-6346
(818) 832-3322
(818) 360-9171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G508260
—
CA
Enumeration date
01/29/2008
Last updated
06/19/2018
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