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Organization

JAMSHEED JAMES SHAMLOO MD INC

Active
Other names
MT. VERNON MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMSHEED J SHAMLOO M.D. (OWNER)
(909) 422-8015
Entity
Organization

Contact information

Practice address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Mailing address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A89604
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8440339
CA
Enumeration date
03/17/2010
Last updated
06/07/2010
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