Ava T Shamban, MD | |
2021 Santa Monica Blvd, Suite 600e, Santa Monica, CA 90404 | |
(310) 828-2282 | |
(310) 828-8504 |
Full Name | Ava T Shamban |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 42 Years |
Location | 2021 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003922162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | G50969 (California) | Secondary |
207N00000X | Dermatology | G50969 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ava Shamban A Medical Corporation | 5698890846 | 2 |
Ava T Shamban Md Inc | 9931136892 | 2 |
Entity Name | Ava T Shamban Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528246196 PECOS PAC ID: 9931136892 Enrollment ID: O20050721000891 |
Entity Name | Ava Shamban A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093035479 PECOS PAC ID: 5698890846 Enrollment ID: O20100913000309 |
Mailing Address | Practice Location Address |
---|---|
Ava T Shamban, MD 2021 Santa Monica Blvd Ste 600e, Santa Monica, CA 90404-2166 Ph: (310) 828-2282 | Ava T Shamban, MD 2021 Santa Monica Blvd, Suite 600e, Santa Monica, CA 90404 Ph: (310) 828-2282 |
Gregory J Colman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Dr. Hrak Ray Jalian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd Ste 570, Santa Monica, CA 90404 Phone: 310-917-3376 | |
Sourabh Arora, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404 Phone: 213-214-8738 | |
Mr. Paul Lawrence Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Dr. Stefani T Kappel, M.D, Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd, 510, Santa Monica, CA 90404 Phone: 310-917-3376 Fax: 310-582-6302 | |
Karyn L Grossman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1250w, Santa Monica, CA 90404 Phone: 310-998-0040 |