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Organization

SPECIALTY ASSOCIATES MANAGEMENT CORPORATION

Active
Other names
Specialty Associates Management Company
Organization subpart
No

Provider details

NPI number
Authorized official
JACK SHOHET M.D. (CHIEF EXECUTIVE OFFICER)
(949) 631-4327
Entity
Organization

Contact information

Practice address
446 OLD NEWPORT BLVD STE 100, NEWPORT BEACH, CA 92663-4246
(949) 631-4327
(949) 631-2030
Mailing address
446 OLD NEWPORT BLVD STE 100, NEWPORT BEACH, CA 92663-4246
(949) 631-4327
(949) 631-2030

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
G83612
CA
231H00000X
Audiologist
5099
CA

Other

Enumeration date
11/01/2013
Last updated
10/15/2015
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