Organization
GEORGE K SHAHINIAN M D INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KEVORK SHAHINIAN M.D. (CHIEF EXECUTIVE OFFICER)
(949) 521-6060
Entity
Organization
Contact information
Practice address
11 MAREBLU STE 200, ALISO VIEJO, CA 92656-3044
(949) 521-6060
(949) 521-6063
Mailing address
25467 NELLIE GAIL RD, LAGUNA HILLS, CA 92653-6306
(949) 521-6060
(949) 521-6063
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
MFC48217
CA
207RC0000X
Cardiovascular Disease Physician
G73846
CA
207RP1001X
Pulmonary Disease Physician
Primary
A63870
CA
Other
Enumeration date
04/26/2006
Last updated
01/25/2023
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