Individual
SHAHAB SEAN SHAHANGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(818) 532-8211
Mailing address
5221 CROWN AVE, LA CANADA, CA 91011-2805
(818) 532-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15864
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A15864
CA
Other
Enumeration date
05/24/2016
Last updated
07/17/2023
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