MEDICARE: DOLOMITE MEDICAL GROUP INC

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1730026998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLOMITE MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1739 W AVENUE J
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-2703
Country	:	US
Telephone Number	:	771-497-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1739 W AVENUE J
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-2703
Country	:	US
Telephone Number	:	310-923-2723
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	BABAK SHABATIAN
Credential	:	M.D.
Telephone Number	:	310-923-2723

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “DOLOMITE MEDICAL GROUP INC ” Practice Location

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