Organization
DR. KUNAL T. SHAH O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNAL T. SHAH O.D. (OWNER / PRESIDENT)
(562) 866-2020
Entity
Organization
Contact information
Practice address
17139 BELLFLOWER BLVD, # 101, BELLFLOWER, CA 90706-5943
(562) 866-2020
(562) 920-3336
Mailing address
17139 BELLFLOWER BLVD, # 101, BELLFLOWER, CA 90706-5943
(562) 866-2020
(562) 920-3336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12356T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275802662
—
CA
Enumeration date
12/14/2011
Last updated
03/27/2012
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