Organization
SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANNA RAMANLAL SHAH MD (PHYSICIAN)
(619) 403-1701
Entity
Organization
Contact information
Practice address
4275 EXECUTIVE SQ STE 200, LA JOLLA, CA 92037-1476
(619) 403-1701
(619) 810-2863
Mailing address
1212 SAN DIEGUITO DR, ENCINITAS, CA 92024-5115
(619) 403-1701
(619) 810-2863
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C53290
CA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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