Individual
ALAA SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 S BLOSSER RD, SANTA MARIA, CA 93458
(805) 361-8900
(805) 361-8990
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A145926
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2015
Last updated
08/31/2018
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