Organization
AVA SHAMBAN A MEDICAL CORPORATION
Active
Other names
AVA MD MED SPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVA THERESA SHAMBAN M.D. (DOCTOR/OWNER)
(310) 828-2282
Entity
Organization
Contact information
Practice address
9915 SANTA MONICA BLVD, BEVERLY HILLS, CA 90212-1606
(310) 843-9915
(310) 843-9925
Mailing address
9915 SANTA MONICA BLVD, BEVERLY HILLS, CA 90212-1606
(310) 843-9915
(310) 843-9925
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
10/13/2010
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