Individual
DANA J. SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2271 S. DEPOT STREET, SANTA MARIA, CA 93455
(805) 922-0561
Mailing address
2271 S DEPOT ST, SANTA MARIA, CA 93455-1216
(805) 922-0561
(805) 922-0083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 16357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 16357
MEDICAL LICENSE #
CA
Enumeration date
06/30/2006
Last updated
11/03/2023
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