Individual
AYAL SHAVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4077 FIFTH AVE # MER127, SAN DIEGO, CA 92103-2105
(858) 554-3200
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A176461
CA
208M00000X
Hospitalist Physician
Primary
A176461
CA
Other
Enumeration date
04/04/2019
Last updated
09/01/2022
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