Individual
SHALIZEH SHOKOOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1140 W. LA VETA AVE, SUITE # 640, ORANGE, CA 92868-4228
(714) 564-3300
(714) 564-3318
Mailing address
1140 W. LA VETA AVE, SUITE # 640, ORANGE, CA 92868-4228
(714) 564-3300
(714) 564-3318
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A60462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60462
MEDICAL LICENSE
CA
05
—
GR0064090
—
CA
Enumeration date
06/27/2006
Last updated
03/07/2023
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