Individual
AHMAD SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 241, MISSION VIEJO, CA 92691
(949) 364-2611
(949) 364-0226
Mailing address
PO BOX 8223, PASADENA, CA 91109-8223
(949) 364-2611
(949) 364-0226
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A32547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA32547A
MEDICARE
CA
Enumeration date
09/28/2006
Last updated
08/30/2018
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