Pravin Shaw, D.O. Valid NPI

Individual provider · Family Medicine Physician · Costa Mesa, CA

NPI

1407136187

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

20A11805 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-08-25

Last updated

2013-08-01