Search › California › 207RC0000X
Sooraj Shah
NPI 1902041643 · on the registry since 2008
Practice
- Address
- 1640 Newport Blvd Ste 445
Costa Mesa, CA 92627 - Phone
- (714) 241-9070
- Fax
- (949) 889-2260
- Organisation at this address
- Pcscllc
Pacific Cddc
Labwest, Inc
Pacific Cddc
Pacific CddcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 9940 Talbert Ave Ste 101, Fountain Valley, CA
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207RA0002X
207RC0000X
207RI0011X - Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California