Individual
JAY N. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 N MOUNTAIN AVE, BULDING E, SUITE 205, ONTARIO, CA 91762-1128
(909) 981-3039
(909) 981-5935
Mailing address
1520 N MOUNTAIN AVE, BULDING E, SUITE 205, ONTARIO, CA 91762-1128
(909) 981-3039
(909) 981-5935
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A39867
CA
Other
Enumeration date
08/31/2006
Last updated
06/22/2012
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