Shah, Puja Dipakkumar

Shah, Puja Dipakkumar is an sole proprietor health care provider with primary practice located at 1421 E 17Th St , Santa Ana CA 92705-8505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shah, Puja Dipakkumar can be contacted via phone (714) 922-4100.

Contact Information

Primary practice address
1421 E 17Th St Santa Ana CA 92705-8505
Phone: (714) 922-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN 700630 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 21691 California

Profile Details

NPI number 1659639144
LBN Legal business name Shah, Puja Dipakkumar
Credentials FNP, CMSRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated Dec 22nd, 2023 - about last year

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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