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Organization

SHAN A NATHAN MD A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAN A NATHAN M.D. (PRESIDENT)
(991) 945-8717
Entity
Organization

Contact information

Practice address
1331 W AVENUE J, SUITE 101, LANCASTER, CA 93534
(661) 945-8717
(661) 945-4867
Mailing address
44215 15TH ST W STE 203, LANCASTER, CA 93534-5504
(661) 726-6599
(661) 726-6597

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A31010
CA
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
06/09/2008
Last updated
08/17/2018
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