Individual
VIVEK DILIPKUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 SANTA MONICA BLVD STE 560W, SANTA MONICA, CA 90404-2182
(310) 453-5654
(310) 453-6885
Mailing address
14445 OLIVE VIEW DR # 2B182, SYLMAR, CA 91342-1438
(747) 210-3205
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A177519
CA
207RX0202X
Medical Oncology Physician
A177519
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
10/22/2025
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