E. Shaham Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G50824 Issued in CA

Legal business name

E. SHAHAM MEDICAL CORPORATION

Practice address

866 N Vermont Ave Ste 1
Los Angeles, CA 90029-3587

Phone

(323) 660-2100

Fax

(323) 662-0078

NPI assigned

Jan 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elsagav Sagi Shaham, M.D.

Title

Owner/President

Phone

(323) 660-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WOMEN'S HEALTHCARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1730484387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-660-2100",
            "fax_number": "323-662-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-660-2100",
            "fax_number": "323-662-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. SHAHAM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "SHAHAM",
        "authorized_official_first_name": "ELSAGAV",
        "authorized_official_middle_name": "SAGI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-660-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G50824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G508240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN'S HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.