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NPI Code Detail

MEDICARE: DR. GEORGE KEVORK SHAHINIAN M.D.

MEDICARE:  DR. GEORGE KEVORK SHAHINIAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianA63870CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487611372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE KEVORK SHAHINIAN M.D.
Provider Business Mailing Address
First Line : 25467 NELLIE GAIL RD
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-6306
Country : US
Telephone Number : 949-521-6060
Fax Number : 949-521-6063
Provider Business Practice Location Address
First Line : 11 MAREBLU STE 200
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-3044
Country : US
Telephone Number : 949-521-6060
Fax Number : 949-521-6063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 01/10/2023

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Directions to “ DR. GEORGE KEVORK SHAHINIAN M.D.” Practice Location

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