Healthcare Provider Details
I. General information
NPI: 1467944934
Provider Name (Legal Business Name): AALAP C SHAH MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2018
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25792 NELLIE GAIL RD
LAGUNA HILLS CA
92653-6134
US
IV. Provider business mailing address
210 N TUSTIN AVE
SANTA ANA CA
92705-3807
US
V. Phone/Fax
- Phone: 909-222-3622
- Fax:
- Phone: 209-956-7725
- Fax: 714-647-1245
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | A144367 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | A144367 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
AALAP
C.
SHAH
Title or Position: PRESIDENT, CEO
Credential: MD
Phone: 206-849-8439