Organization
SHAHLA ABEDI M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAHLA ABEDI MD (PHYSICIAN OWNER)
(949) 831-4144
Entity
Organization
Contact information
Practice address
15 MAREBLU, SUITE 260, ALISO VIEJO, CA 92656
(949) 831-4144
(949) 831-6145
Mailing address
15 MAREBLU, SUITE 260, ALISO VIEJO, CA 92656
(949) 831-4144
(949) 831-6145
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A30819
CA
207W00000X
Ophthalmology Physician
Primary
A79258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A308190
—
CA
Enumeration date
10/06/2006
Last updated
11/10/2022
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