Individual
MOHAMED ADAM SHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 ATLANTIC AVE, LONG BEACH, CA 90806-2701
(714) 377-6993
(562) 933-8557
Mailing address
1901 NEWPORT BLVD STE 235, COSTA MESA, CA 92627-2281
(949) 646-6224
(949) 646-6222
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A167544
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
05/08/2023
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