West Coast Pediatric Gastroenterology
NPI #1316791932 in San Dimas, California
Provider Information
- NPI Number
- 1316791932
- Entity Type
- Organization
- Organization Name
- West Coast Pediatric Gastroenterology
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Apr 11, 2024
- Last Updated
- Apr 11, 2024
Practice Location
- Address
- 1330 W COVINA BLVD STE 201
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3200
- Phone
- (760) 401-9525
Authorized Official
- Name
- DR. MOHAMED SHABAN, MD
- Title
- PHYSICIAN
- Phone
- (562) 459-5271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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