Shavelle, David Mark

Shavelle, David Mark is an individual health care provider with primary practice located at 3828 Schaufele Ave Ste 200 , Long Beach CA 90808-1793. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shavelle, David Mark can be contacted via phone (657) 241-8990.

Contact Information

Primary practice address
3828 Schaufele Ave Ste 200 Long Beach CA 90808-1793
Phone: (657) 241-8990
Fax: (714) 665-4664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A54834 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A54834 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A54834 California

Profile Details

NPI number 1154315919
LBN Legal business name Shavelle, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 17th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154315919 NPPES
California Other GR0100430 GROUP MEDICAL
California MEDICAID 00A548340 GROUP MEDICAL
California Other P00097660 GROUP MEDICAL
California Other 1902846306 GROUP MEDICAL
California Other W14940 GROUP MEDICAL
California Other W18762 GROUP MEDICAL

Popular Providers