Organization
OCEAN SKIN AND VEIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYA SHOKEEN MD (OWNER)
(310) 847-9693
Entity
Organization
Contact information
Practice address
13420 NEWPORT AVE STE G, TUSTIN, CA 92780-3745
(310) 847-9693
Mailing address
932 RIVAS CANYON RD, PACIFIC PLSDS, CA 90272-3957
(310) 847-9693
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
03/29/2019
Last updated
02/22/2024
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