Individual
KEVIN P SHIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
26520 CACTUS AVE CPC STE 201, MORENO VALLEY, CA 92555-3927
(951) 486-5908
(951) 486-5910
Mailing address
26520 CACTUS AVE STE 201, MORENO VALLEY, CA 92555-3927
(951) 486-5908
(951) 486-5910
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20A21971
CA
Other
Enumeration date
04/23/2021
Last updated
08/08/2024
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