Organization
MAO INHIBITORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL SHAH (PHYSICIAN)
(323) 696-2647
Entity
Organization
Contact information
Practice address
5158 CLARETON DR UNIT 1602, AGOURA HILLS, CA 91376-7086
(818) 906-4224
Mailing address
5158 CLARETON DR UNIT 1602, AGOURA HILLS, CA 91376-7086
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
10/22/2023
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