Individual
FORUM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCGC
Contact information
Practice address
1000 W LA VETA AVE, ORANGE, CA 92868-4304
(714) 734-6200
(714) 734-6218
Mailing address
1000 W LA VETA AVE, ORANGE, CA 92868-4304
(714) 734-6200
(714) 734-6218
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000506
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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