Individual
JACK A SHOHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4246
(949) 631-0409
(949) 631-2030
Mailing address
446 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4246
(949) 631-4327
(949) 631-2030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G83612
CA
207YX0901X
Otology & Neurotology Physician
Primary
G54420
CA
Other
Enumeration date
10/26/2006
Last updated
09/16/2019
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