Shah, Jay

Shah, Jay is an individual health care provider with primary practice located at 2140 Grand Ave Ste 125 , Chino Hills CA 91709-6802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shah, Jay can be contacted via phone (909) 630-7875.

Contact Information

Primary practice address
2140 Grand Ave Ste 125 Chino Hills CA 91709-6802
Phone: (909) 630-7875
Fax: (909) 469-2107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A16182 California

Profile Details

NPI number 1023464336
LBN Legal business name Shah, Jay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Jul 26th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023464336 NPPES
California MEDICAID 1023464336

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