Organization
SHALOM MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN CHUNG (DIRECTOR)
(714) 563-1997
Entity
Organization
Contact information
Practice address
1175 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 563-1997
Mailing address
1175 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 563-1997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A60371
CA
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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