Organization
MIAN MOHSIN SHAH AMC
Active
Organization
MIAN MOHSIN SHAH AMC
Active
Other names
IRVINE NEUROLOGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIAN MOHSIN SHAH MD (PRESIDENT AND CEO)
(714) 973-1388
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE, SUITE 109, SANTA ANA, CA 92705-3528
(714) 973-1388
(949) 284-0604
Mailing address
999 N TUSTIN AVE, SUITE 109, SANTA ANA, CA 92705-3528
(714) 973-1388
(949) 284-0604
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A066315
CA
2084N0400X
Neurology Physician
A066315
CA
2084V0102X
Vascular Neurology Physician
A066315
CA
2085R0204X
Vascular & Interventional Radiology Physician
A066315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A663150
—
CA
Enumeration date
11/04/2011
Last updated
11/04/2011
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