Shahab Sean Shahangian, DO | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(818) 532-8211 | |
Not Available |
Full Name | Shahab Sean Shahangian |
---|---|
Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023465622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A15864 (California) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 20A15864 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Cep America - Intensivists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407234057 PECOS PAC ID: 9032423421 Enrollment ID: O20150729008559 |
Mailing Address | Practice Location Address |
---|---|
Shahab Sean Shahangian, DO 5221 Crown Ave, La Canada, CA 91011-2805 Ph: (818) 532-8211 | Shahab Sean Shahangian, DO 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (818) 532-8211 |
Petru Papacostea, Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Moosa Azadian, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Douglas Wang, Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Dr. Lynnetta E Skoretz, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton Street, #111h, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3280 | |
Mst Nurjahan Khatun, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650 | |
Snorri Olafsson, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191 |