Individual
ANA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2800
Mailing address
PO BOX 240086, LOS ANGELES, CA 90024-9186
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A7670
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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