Individual
KAMBIZ SHETABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E 8TH ST STE 7, NATIONAL CITY, CA 91950-2663
(619) 434-4288
(619) 434-4315
Mailing address
591 TELEGRAPH CANYON RD # 766, CHULA VISTA, CA 91910-6436
(619) 434-4288
(619) 434-4315
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
56405
WI
207RC0000X
Cardiovascular Disease Physician
A126187
CA
207RC0000X
Cardiovascular Disease Physician
R8102
TX
207RI0011X
Interventional Cardiology Physician
Primary
A126187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A126187
CA MEDICAL BOARD
CA
01
—
R8102
TEXAS MEDICAL BOARD
TX
Enumeration date
03/22/2010
Last updated
08/31/2023
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