Shah, Forum
Shah, Forum is an individual health care provider with primary practice located at 1000 W La Veta Ave , Orange CA 92868-4304. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Shah, Forum can be contacted via phone (714) 734-6200.Contact Information
Primary practice address
1000 W La Veta Ave
Orange CA 92868-4304
Phone: (714) 734-6200
Fax: (714) 734-6218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | GC000506 | California |
Profile Details
| NPI number | 1760803050 |
|---|---|
| LBN Legal business name | Shah, Forum |
| Credentials | M.S., LCGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2014 |
| Last updated | Jan 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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