Organization
AHMAD M SHABAN, MD, INC
Active
Organization
AHMAD M SHABAN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD MOSTAFA. SHABAN M.D. (OWNER)
(949) 364-2611
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 241, MISSION VIEJO, CA 92691
(949) 364-2611
(949) 364-0226
Mailing address
PO BOX 8223, PASADENA, CA 91109-8223
(949) 364-2611
(949) 364-0226
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A32547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A325470
—
CA
Enumeration date
08/21/2007
Last updated
08/30/2018
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