Individual
ARTI SURENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12727 NOTTINGHAM ST, CERRITOS, CA 90703-7275
(310) 966-7465
Mailing address
12727 NOTTINGHAM ST, CERRITOS, CA 90703-7275
(310) 966-7465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006279
NY
152W00000X
Optometrist
OPT11392
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
006279
NY
152WC0802X
Corneal and Contact Management Optometrist
T11392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0113920
MEDICAL PPIN #
CA
Enumeration date
07/26/2006
Last updated
09/11/2025
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