Organization · NPI-2

Alan L. Shabo M.D. A Medical Corporation

Ophthalmology · Los Angeles, CA

NPI number1295000693
StatusActive
Last updated in NPPESMar 19, 2012

Details

NPI
1295000693
Entity type
Organization (NPI-2)
Legal business name
Alan L. Shabo M.D. A Medical Corporation
Organization subpart
No
Enumeration date
Mar 19, 2012
Last updated
Mar 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyA23893CAYes

Practice location

10921 Wilshire Blvd
Suite 1205
Los Angeles, CA 90024-3906

Phone 310-824-9661 · Fax 310-824-9867

Mailing address

10921 Wilshire Blvd
Suite 1205
Los Angeles, CA 90024-3906

Phone 310-824-9661 · Fax 310-824-9867

Authorized official

Alan Louis Shabo
Physician&Surgeon/Ophthalmologist
3108249661

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