Individual
DR. DONALD BRIAN SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 S MAIN ST STE 225, ORANGE, CA 92868-4516
(714) 364-4050
Mailing address
505 S MAIN ST STE 225, ORANGE, CA 92868-4516
(714) 364-4050
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G55169
CA
208800000X
Urology Physician
G55169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G551690
MEDICAL ID NUMBER
CA
01
—
10964
CCS NUMBER
CA
Enumeration date
05/02/2006
Last updated
05/05/2022
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