Organization
SOUTHERN CALIFORNIA INFECTIOUS DISEASE PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEENA H SHAH MD (PRESIDENT)
(626) 810-3330
Entity
Organization
Contact information
Practice address
18335 E VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Mailing address
18335 E VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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