Individual
MICHAEL J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 BARRANCA PKWY, SUITE 103C, IRVINE, CA 92604-4671
(949) 552-8585
(949) 552-8615
Mailing address
PO BOX 3699, NEWPORT BEACH, CA 92659-8699
(949) 552-8585
(949) 552-8615
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G39931
CA
Other
Enumeration date
05/03/2006
Last updated
09/07/2012
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