Organization
AVA T SHAMBAN MD INC
Active
Other names
Laser Institute for Dermatology & European Skin Care
Organization subpart
No
Provider details
NPI number
Authorized official
AVA T SHAMBAN MD (PHYSICIAN/OWNER)
(310) 828-2282
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, #600E, SANTA MONICA, CA 90404
(310) 828-2282
(310) 828-8504
Mailing address
PO BOX 2248, YUCCA VALLEY, CA 92286-2248
(310) 828-2282
(310) 828-8504
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
10/13/2010
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