Organization
GASTROENTEROLOGY AND ENDOSCOPY INSTITUTE OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD M SHABAN MD (OWNER)
(949) 364-2611
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 241, MISSION VIEJO, CA 92691-6306
(949) 364-2611
(949) 364-0226
Mailing address
26732 CROWN VALLEY PKWY, SUITE 241, MISSION VIEJO, CA 92691-6306
(949) 364-2611
(949) 364-0226
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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