Organization
WEST COAST CARDIOVASCULAR PC
Active
Organization
WEST COAST CARDIOVASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOORAJ MALAY SHAH MD (PRESIDENT)
(714) 241-9070
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD STE 445, COSTA MESA, CA 92627-7730
(714) 241-9070
Mailing address
1640 NEWPORT BLVD STE 445, COSTA MESA, CA 92627-7730
(714) 241-9070
(949) 695-2693
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
01/22/2024
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