=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861623894
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CEDARS SINAI MEDICAL CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2009
-----------------------------------------------------
Last Update Date | 08/08/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12903 DROXFORD ST
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-6067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-924-1507
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12903 DROXFORD ST
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-6067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-924-1507
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL RESIDENT
-----------------------------------------------------
Name | DR. DIGISH DINESH SHAH
-----------------------------------------------------
Credential | M.D., B.A.
-----------------------------------------------------
Telephone | 347-225-3351
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------