DR MONA SHAH PROFESSIONAL CORPORATION
Osteopathic Medicine at Gaffey St, San Pedro, CA

License number
California A56119
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MONA SHAH M.D.
Title: OWNER
Phone: (310) 548-0201
Address
Address
1600 S Gaffey St, San Pedro, CA 90731
National Provider ID: 1053643171
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. MONA SHAH, PROFESSIONAL CORPORATION

Palos Verdes Estates, CA  -  San Pedro, CA  -  San Jose, CA

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Jan 27, 2010
Phone:
(310) 548-0201 (Phone)
Addresses:
1916 Via Estudillo, Palos Verdes Peninsula, CA 90274 (Physical)
1294 W 6 St, San Pedro, CA 90731
3526 Edgeman Ct, San Jose, CA 95148
State ID:
C3270731
Business type:
Articles of Incorporation
President:
Mona Shah (President)
Agent:
Shailesh Shah,San Pedro, CA 90731 (Physical)

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