Individual
OMID AVRAHAM SHAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12556 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2006
(800) 544-5844
(714) 784-7671
Mailing address
6222 WILSHIRE BLVD, SUITE 303, LOS ANGELES, CA 90048-5123
(323) 939-2442
(323) 939-2439
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A91773
CA
Other
Enumeration date
10/24/2007
Last updated
08/10/2020
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