Organization
SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANNA R SHAH MD (PRESIDENT)
(619) 403-1701
Entity
Organization
Contact information
Practice address
1368 HYMETTUS AVE, ENCINITAS, CA 92024-1746
(619) 403-1701
Mailing address
1368 HYMETTUS AVE, ENCINITAS, CA 92024-1746
(619) 403-1701
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C53290
CA
2084P0800X
Psychiatry Physician
C53290
CA
Other
Enumeration date
01/07/2013
Last updated
09/24/2013
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