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Organization

SHAWN ZARDOUZ M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAWN ZARDOUZ MD (PRESIDENT)
(313) 407-9530
Entity
Organization

Contact information

Practice address
520 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663-3667
(949) 232-1019
Mailing address
PO BOX 1133, COSTA MESA, CA 92628-1133

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
261QP3300X
Pain Clinic/Center

Other

Enumeration date
07/08/2021
Last updated
08/18/2021
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