Organization
E. SHAHAM MEDICAL CORPORATION
Active
Other names
WOMEN'S HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSAGAV SAGI SHAHAM M.D. (OWNER/PRESIDENT)
(323) 660-2100
Entity
Organization
Contact information
Practice address
866 N VERMONT AVE STE 1, LOS ANGELES, CA 90029-3587
(323) 660-2100
(323) 662-0078
Mailing address
866 N VERMONT AVE STE 1, LOS ANGELES, CA 90029-3587
(323) 660-2100
(323) 662-0078
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G50824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G508240
—
CA
Enumeration date
01/12/2011
Last updated
02/15/2011
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