Organization
VDAH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIMESH SHAH MD (CEO)
(323) 447-2259
Entity
Organization
Contact information
Practice address
2460 N PONDEROSA DR STE A101, CAMARILLO, CA 93010-2375
(310) 402-2849
Mailing address
3697 EL ENCANTO DR, CALABASAS, CA 91302-3593
(323) 447-2259
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A108019
CA
282N00000X
General Acute Care Hospital
Primary
A108019
CA
Other
Enumeration date
05/17/2012
Last updated
04/15/2026
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