Organization
JOHN SHAIB, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K SHAIB M.D. (PRESIDENT)
(562) 741-4461
Entity
Organization
Contact information
Practice address
9040 TELEGRAPH RD STE 100, ATTENTION: MAGGIE NOLES MS 6160, DOWNEY, CA 90240-2395
(562) 861-0954
(562) 231-1904
Mailing address
PO BOX 486, ATTENTION: MAGGIE NOLES MS 6160, ARTESIA, CA 90702-0486
(562) 741-4461
(562) 741-4413
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3396
RAILROAD MEDICARE
CA
Enumeration date
05/27/2006
Last updated
05/16/2009
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