Shoham Medical Group

LBN: Steven C Shoham Md
Shoham Medical Group is an health care organization with primary practice located at 10515 Balboa Blvd Ste 360 , Granada Hills CA 91344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Steven C Shoham Md can be contacted via phone (818) 832-3322, or through Shoham, Steven Charles via phone (818) 832-3322.

Contact Information

Primary practice address
10515 Balboa Blvd Ste 360 Granada Hills CA 91344
Phone: (818) 832-3322
Fax: (818) 360-9171
Website:
Map and Directions
Authorized official contact:
Name: Shoham, Steven Charles Doctor of Medicine (MD)
Phone: (818) 832-3322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1710164967
LBN Legal business name Steven C Shoham Md
DBA Doing business as Shoham Medical Group
Authorized official Shoham, Steven Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated Jun 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710164967 NPPES
California MEDICAID 00G508260

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