Individual
DR. SHAYA GHAZINOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 645-3534
Mailing address
20 EXECUTIVE PARK STE 155, IRVINE, CA 92614-4733
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A76305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A763050
BS OF CA
CA
05
—
00A763050
—
CA
05
—
1124036462
—
CA
Enumeration date
08/03/2006
Last updated
12/12/2012
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