Wellformed AI

NPI 1295000693 · live from the CMS NPI Registry

Alan L. Shabo M.D. A Medical Corporation

Ophthalmology in Los Angeles, CA. National Provider Identifier 1295000693, active.

NPI record

NPI1295000693 Type 2 · organization
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location10921 Wilshire Blvd, Suite 1205, Los Angeles, CA 90024
Practice phone310-824-9661
EnumeratedMarch 19, 2012
Last updatedMarch 19, 2012
Authorized officialAlan Shabo, Physician&Surgeon/Ophthalmologist

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology primary207W00000XA23893 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.