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Organization

NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP

Active
Other names
Paras R Shah MD A Medical Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PARAS R SHAH MD (OWNER)
(858) 485-5600
Entity
Organization

Contact information

Practice address
15708 POMERADO RD, SUITE-N-202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692
Mailing address
15708 POMERADO RD, SUITE-N-202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A100573
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831330729
CA
01
A100573
STATE LICENSE
CA
Enumeration date
03/23/2009
Last updated
11/19/2010
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