Active NPI
George K Shahinian MD Inc
- Medical Physician Assistant
- Laguna Hills, CA
National Provider Identifier
1104282888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 53145
- Legal business name
- GEORGE K SHAHINIAN MD INC
- Practice address
- 24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672 - Phone
- (949) 521-6060
- Fax
- (949) 521-6063
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dori Lynn Wilson
- Title
- Office Manager
- Phone
- (949) 521-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 53145 | CA | Primary |
Addresses
Primary practice location
24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672
Mailing address
24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672
Phone (949) 521-6060
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452470400000",
"number": "1104282888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR STE 620",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533672",
"telephone_number": "949-521-6060",
"fax_number": "949-521-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR STE 620",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533672",
"telephone_number": "949-521-6060",
"fax_number": "949-521-6063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE K SHAHINIAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DORI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "949-521-6060",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "53145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.