Organization
RAVI B SHAH, DO INC
Active
Other names
North Orange County Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI B SHAH DO (PRESIDENT)
(714) 577-9090
Entity
Organization
Contact information
Practice address
1275 N ROSE DR, SUITE #118, PLACENTIA, CA 92870-3941
(714) 577-9090
(714) 572-8483
Mailing address
1275 N ROSE DR, SUITE #118, PLACENTIA, CA 92870-3941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A9434
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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