Organization
USMAN S. SHAH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECA LAGUNA (CREDENTIALING MANAGER)
(442) 600-5128
Entity
Organization
Contact information
Practice address
1 HOAG DR., BLDG 39, 1ST FLOOR, NEWPORT BEACH, CA 92663-9266
(949) 764-1801
Mailing address
PO BOX 5434, ORANGE, CA 92863-5434
(442) 600-5128
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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