Individual
EMANUEL SHAOULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SUPERIOR AVE STE 250, NEWPORT BEACH, CA 92663-2778
(949) 631-6144
(949) 281-5011
Mailing address
320 SUPERIOR AVE STE 280, NEWPORT BEACH, CA 92663-6140
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A41353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A413530
—
CA
01
—
060050288
RAILROAD MEDICARE
—
01
—
290-808-5
ECFMG NUMBER
CA
Enumeration date
04/27/2006
Last updated
06/11/2024
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