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Individual

CHARMI SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3500 LOMITA BLVD STE 300, TORRANCE, CA 90505-5038
(310) 257-0028
(310) 257-0031
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A132930
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A132930
MEDICAL LICENSE
CA
Enumeration date
06/05/2012
Last updated
03/07/2023
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