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Organization

OCIGE INC

Active
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Organization

OCIGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMAD M SHABAN M.D. (MEDICAL DIRECTOR - OWNER)
(949) 364-2611
Entity
Organization

Contact information

Practice address
26732 CROWN VALLEY PKWY, SUITE 241, MISSION VIEJO, CA 92691-6306
(949) 364-2611
(949) 364-0226
Mailing address
26732 CROWN VALLEY PKWY, SUITE 241, MISSION VIEJO, CA 92691-6306
(949) 364-2611
(949) 364-0226

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
060000405
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D0869549
CLIA
CA
01
060000405
DHS STATE LICENSE
CA
01
FNP34251
MEDICAL BOARD FICTITIOUS
CA
Enumeration date
01/15/2007
Last updated
06/07/2012
Update your record

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