AVA SHAMBAN A MEDICAL CORPORATION (NPI# 1093035479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093035479 |
| Entity Type | Organization |
| Organization Name | AVA SHAMBAN A MEDICAL CORPORATION |
| Other Organization Name | AVA MD MED SPA |
| Practice Address |
9915 Santa Monica Blvd Beverly Hills CA 90212-1606 |
| Practice Telephone | 3108439915 |
| Practice Fax Number | 3108439925 |
| Mailing Telephone | 3108439915 |
| Mailing Fax Number | 3108439925 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-10-13 |
| Authorized Official Name | DR. AVA THERESA SHAMBAN (DOCTOR/OWNER) |
| Authorized Official Telephone | 3108282282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AVA MD MED SPA | Other Name - Individual/Organization |
| Street Address |
9915 SANTA MONICA BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225366784 | David Reed | Marriage & Family Therapist | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 | 2009-11-20 |
| 1669783544 | Christine Marie Nell | Nurse Practitioner | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 | 2010-06-25 |
| 1336460773 | Karriann Louise Khalil | Nurse Practitioner | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179065 | Roxbury Dermatology and Multispecialty Practice Inc | Dermatology | 450 N Roxbury Dr Ste 410, Beverly Hills, CA 90210-4231 | 2018-10-04 |
| 1689189854 | Radiant Dermatology, Inc. | Dermatology | 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 | 2017-12-09 |
| 1174965016 | Jasmine Obioha | Dermatology | 99 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2285 | 2013-07-19 |
| 1760736995 | Steven Fisher Rabens | Dermatology | 213 S Palm Dr, Beverly Hills, CA 90212-3515 | 2012-11-09 |
| 1578896247 | Tsippora Shainhouse | Dermatology | 239 S La Cienega Blvd Ste 200, Beverly Hills, CA 90211-3319 | 2009-09-14 |
| 1912164872 | Jason J Emer | Dermatology | 435 N. Bedford Dr., Suite 312, Beverly Hills, CA 90212-2107 | 2008-05-19 |
| 1093833709 | Ladan Shahabi | Dermatology | 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 | 2007-03-27 |
| 1689720278 | Lisa Chipps | Dermatology | 421 N Rodeo Dr # T7, Beverly Hills, CA 90210-4500 | 2007-01-26 |
| 1124120902 | Michael T Bontekoe | Dermatology | 450 N Roxbury Dr Ste 400, Beverly Hills, CA 90210-4218 | 2006-09-02 |
| 1649388109 | Stuart Harris Kaplan | Dermatology | 435 N Roxbury Dr Ste 210, Beverly Hills, CA 90210-5004 | 2006-08-26 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.