Individual
SHAWN DINESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(323) 226-7556
(323) 226-2657
Mailing address
360 W AVENUE 26, APARTMENT 415, LOS ANGELES, CA 90031-3091
(408) 242-7210
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
159163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS3232267556
SS3232267556
CA
05
—
SS3232267556
—
CA
Enumeration date
04/06/2017
Last updated
10/27/2023
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