Organization
SAMIR A SHAH MD PROFESSIONAL CORPORATION
Active
Other names
Beach Eye Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR SHAH MD (PHYSICIAN)
(714) 965-9696
Entity
Organization
Contact information
Practice address
18582 MAIN ST, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
(714) 965-9797
Mailing address
18582 MAIN ST, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
(714) 965-9797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
A85961
CA
Other
Enumeration date
06/29/2010
Last updated
11/14/2023
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