Individual
DR. DAVID MARK SHAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3828 SCHAUFELE AVE STE 250, LONG BEACH, CA 90808-0016
(657) 241-8990
(714) 665-4664
Mailing address
3828 SCHAUFELE AVE STE 250, LONG BEACH, CA 90808-0016
(657) 241-8990
(714) 665-4664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A54834
CA
207RC0000X
Cardiovascular Disease Physician
A54834
CA
207RI0011X
Interventional Cardiology Physician
Primary
A54834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A548340
—
CA
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
P00097660
MEDICARE RAILROAD
CA
01
—
W14940
HARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC.
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
09/08/2005
Last updated
05/06/2026
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