Ava T Shamban in Santa Monica - Procedural Dermatology

Ava T Shamban - NPI 1003922162

Ava T Shamban is a Procedural Dermatology in Santa Monica, California. Ava T Shamban practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Ava T Shamban is 1003922162. The last update date is 2022-05-03.

Ava T Shamban's current location address is 2021 Santa Monica Blvd Ste 600e, Santa Monica, California. You can contact this provider via phone number 3108282282 and fax number 3108288504. The mailing address for Ava T Shamban is 2021 Santa Monica Blvd Ste 600e, Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ava T Shamban
Address 2021 Santa Monica Blvd Ste 600e, Santa Monica, California
Phone Number 3108282282
Fax Number 3108288504
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003922162
Provider Enumeration Date 2006-08-22
Last Updated Date 2022-05-03

Provider Mailing Address Detail

Address 2021 Santa Monica Blvd Ste 600e
City Santa Monica
State California (CA)
Post Code 904042166
Phone Number 3108282282
Fax Number 3108288504

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No G50969
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

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FAQs about Ava T Shamban

What is the unique 10-digit identification code assigned to Ava T Shamban by the Centers for Medicare & Medicaid Services?

The Ava T Shamban has been issued the NPI (National Provider Identifier) 1003922162, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Ava T Shamban?

The Ava T Shamban is situated at 2021 Santa Monica Blvd Ste 600E, in the city of Santa Monica, state of CA, with the zip code 904042166.

What is the Ava T Shamban's area of specialization and corresponding taxonomy classification?

The Ava T Shamban's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.

On what date did the Ava T Shamban receive the assignment of its 1003922162 from the Centers for Medicare & Medicaid Services?

The Ava T Shamban was issued its 1003922162 by the Centers for Medicare & Medicaid Services on 2006-08-22.

As of what date were the details related to Ava T Shamban most recently updated or revised?

The information pertaining to Ava T Shamban, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-03.

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