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Individual

DR. OMAR SHAHBAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
2250 S MAIN ST STE 201, CORONA, CA 92882-2536
(951) 808-6298
(951) 817-0362
Mailing address
1901 TOWN AND COUNTRY DR STE 104, NORCO, CA 92860-3611
(951) 808-6250
(951) 738-9954

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A151553
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/21/2011
Last updated
06/30/2020
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