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E. SHAHAM MEDICAL CORPORATION NPI 1730484387


NPI Information

NPI: 1730484387
Provider Name: E. SHAHAM MEDICAL CORPORATION

Doing Business As: WOMEN'S HEALTHCARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D2037469

Address:
866 N VERMONT AVE STE 1
LOS ANGELES, CA
ZIP 90029
Phone: (323) 660-2100
Get Directions

E. SHAHAM MEDICAL CORPORATION is an obstetrics gynecology in Los Angeles, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. E. SHAHAM MEDICAL CORPORATION NPI is 1730484387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Women's Healthcare.

The provider's business location address is:

866 N VERMONT AVE STE 1
LOS ANGELES, CA
ZIP 90029-587
Phone: (323) 660-2100
Fax: (323) 662-0078

The provider's authorized official is Elsagav Sagi Shaham .
The authorized official title is Owner/president and has the following contact phone number (323) 660-2100.

The CLIA number assigned to this NPI record is 05D2037469 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2011 and was last updated on 2/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG50824CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G508240MEDICAIDCALIFORNIA
2F01547MEDICARE UPINCALIFORNIA
3G50824MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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