Eileen Shah

General Practice Dentistry · Menifee, CA

Individual Active NPI

NPI number 1063990042

Practice location

29950 Haun Rd Ste 302
Menifee, CA 92586-6527
Phone
(951) 679-1667

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NPI record

NPI
1063990042
Entity type
Individual (Type 1)
Enumeration date
August 1, 2018
Last updated
August 1, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 102913 CA

Mailing address

6605 Montecarlo Pl
Rancho Cucamonga, CA 91701-9013
Phone
(909) 605-3096

About Eileen Shah

Eileen Shah is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 29950 Haun Rd Ste 302, Menifee, CA 92586-6527. The NPI number 1063990042 was assigned on August 1, 2018 and the record was last updated on August 1, 2018.

Eileen Shah lists a license in the registry: #102913 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen Shah?

The NPI number is 1063990042.

What is the phone number of Eileen Shah?

The phone number listed for the practice location is (951) 679-1667.

Where is Eileen Shah located?

29950 Haun Rd Ste 302, Menifee, CA 92586-6527.

What is the taxonomy code for Eileen Shah?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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