PRAVIN SHAW

COSTA MESA, CA
NPI1407136187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A11805)
Enumeration Date2011-08-25
Last Update Date2013-08-01
Business Address
Dr. PRAVIN SHAW D.O.
1190 BAKER ST STE 100
COSTA MESA, CA 92626-4105
Phone number: 714-668-2500
Mailing Address
Dr. PRAVIN SHAW D.O.
PO BOX 3699
NEWPORT BEACH, CA 92659-8699
Phone number: 714-668-2500
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